UNLABELLED In 1973, Winnie et al. introduced the inguinal paravascular three-in-one block, which allegedly provides anesthesia of three nerves--the femoral, lateral cutaneous femoral, and obturator nerves--with a single injection. This concept was undisputed until the success of the obturator nerve block was reassessed by using evidence of adductor weakness rather than cutaneous sensory blockad...

OBJECTIVE To evaluate the risk of vascular injury during transobturator approach of cystocele repair. DESIGN Dissection of the obturator area by perineal approach was performed after placement of mesh needles used for cystocele mesh repair. SETTING Surgery school of Paris. POPULATION OR SAMPLE Twenty obturator regions in ten fresh female cadavers. METHODS Transperineal dissection of the...

The authors report two cases with distension of the obturator internus bursa identified on MR images, and describe the location and characteristic features of obturator internus bursitis; the "boomerang"-shaped fluid distension between the obturator internus tendon and the posterior grooved surface of the ischium.

We report 2 cases of obturator internus muscle strains. The injuries occurred in young male athletes involved in kicking sports. Case 1 details an acute obturator internus muscle strain with associated adductor longus strain. Case 2 details an overuse injury of the bilateral obturator internus muscles. In each case, magnetic resonance imaging played a crucial role in accurate diagnosis.

Obturator hernia is a rare clinical condition that causes intestinal obstruction. Recent reports have suggested that laparoscopic repair may be useful for incarcerated obturator hernia in select patients. The patient was a 64-year-old female who presented to our emergency department with a chief complaint of abdominal pain. Computed tomography (CT) imaging revealed an incarcerated obturator her...

Obturator hernia is a rare pelvic hernia that occurs primarily in multiparous, elderly (>70 years of age), thin females. This case highlights the successful laparoscopic mesh repair of an incarcerated obturator hernia in an octogenarian. The authors report a case of an incarcerated obturator hernia in an elderly female with subsequent high-grade small bowel and its successful laparoscopic opera...

INTRODUCTION An obturator hernia is an uncommon form of abdominal hernia that is difficult to diagnose due to its non-distinct presentation. This case investigates an emergency treatment of an obturator hernia presenting in a patient with an ipsilateral hip disarticulation in a 266-bed community hospital. PRESENTATION OF CASE A 53-year old man with a history of a left hip disarticulation 3-we...

INTRODUCTION Maxillary defects are usually rehabilitated by a prosthetic obturator. OBJECTIVE This study aimed to evaluate the functioning of obturators prosthesis in patients with unilateral defects after maxillectomy. METHODS Of 49 patients, 28 underwent to maxillectomy as a result of tumor ablative surgery, and acquired unilateral maxillary defects. Evaluation of the function was perform...

PURPOSE Groin pain after transobturator synthetic mesh placement can be recalcitrant to conservative therapy and ultimately requires surgical excision. We describe our experiences with and technique of obturator foramen dissection for mesh excision. MATERIALS AND METHODS The records of 8 patients treated from 2005 to 2010, were reviewed. Obturator dissection was performed via a lateral groin ...

Defects in the maxilla associated with oroantral and oronasal communications generally affect patient’s function and esthetics leading to emotional imbalance. Reconstructive surgery is an option, but sometimes presents unsatisfactory results. Rehabilitation using obturator prostheses in edentulous patients often contributes to inadequate stability. The literature demonstres that intra-oral endo...