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...

This study used dissection of 34 lumbar plexes to look at the prevalence of anatomical variations in the lumbar plexus and the six peripheral branches from the origin at the ventral roots of (T12) L1-L4 to the exit from the pelvic cavity. Prevalence of anatomical variation in the individual nerves ranged from 8.8-47.1% with a mean prevalence of 20.1%. Anatomical variations included absence of t...

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...

The treatment of hemimaxillectomy patients include the construction of an interim obturator in the wound healing period. With the aim of simplifying this process, we describe construction of an obturator in a short single visit, in the dental chair with no need for impressions or for laboratory services. The obturator comprises: (i) the surgical obturator and (ii) a hollow light-cured resin bul...

Terminal hip flexion contributes to increased strain in peripheral nerves at the level of the hip joint. The effects of hip abduction and femoral version on sciatic nerve biomechanics are not well understood. A decrease in sciatic nerve strain will be observed during terminal hip flexion and hip abduction, independent of femoral version. Six un-embalmed human cadavers were utilized. Three Diffe...

W e congratulate Kwofie et al 1 on their thorough study on the motor effects after adductor canal block (ACB). The authors found no motor weakness after ACB in healthy volunteers using a relatively high volume of local anesthetic. The injection was made at a point considered distal to the motor supply to the quad-riceps femoris muscle. However, the motor branch to the vastus medialis muscle con...