Laparoscopic repair is a treatment of choice for selected patients with incarcerated obturator hernia View Full Text


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Article Info

DATE

2018-02-01

AUTHORS

A. Kohga, A. Kawabe, T. Okumura, K. Yamashita, J. Isogaki, K. Suzuki

ABSTRACT

PurposeThe feasibility and potential advantages of laparoscopic diagnosis and repair of incarcerated obturator hernia (OH) is debated. The aim of this retrospective study was to compare short-term complications comparing laparoscopic to open repair of OH.MethodsA total of 29 preoperatively diagnosed patients underwent surgery for a preoperatively diagnosed OH between January 2006 and July 2017. The patients were divided into a laparoscopic group (11 patients underwent laparoscopic repair; 8 without and 3 with intestinal resection) and an open group (18 patients who underwent open repair; 9 without and 9 with intestinal resection).The outcomes were compared between groups. A risk factor analysis for postoperative complications was performed.ResultsThe incidence of postoperative complications was fewer in the laparoscopic group [9.0% vs. 61.1%; (p < 0.001)]. The bleeding amount [1.2 g vs. 40.4 g; (p = 0.087)] and postoperative length of stay [13.3 days vs. 17.1 days; (p = 0.072)] showed a tendency to be favorable in the laparoscopic group. Occult contralateral OH was detected in three patients (27.7%) in the laparoscopic group and one patient (5.5%) in the open group (p = 0.099). Open surgery and intestinal resection were independent risk factors for a postoperative complication. One patient in the open group developed an incarcerated OH on the contralateral side 1 year after the first surgery.ConclusionsLaparoscopic repair for incarcerated obturator hernia demonstrated more favorable short-term outcomes compared with open repair in terms of a lower incidence of postoperative complications and it was potentially beneficial for detecting and repairing an occult OH on the contralateral side. More... »

PAGES

887-895

References to SciGraph publications

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    URI

    http://scigraph.springernature.com/pub.10.1007/s10029-018-1747-7

    DOI

    http://dx.doi.org/10.1007/s10029-018-1747-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1100750530

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29392505


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    46 complications
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    61 laparoscopic
    62 laparoscopic diagnosis
    63 laparoscopic group
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    65 length
    66 lower incidence
    67 obturator hernia
    68 open group
    69 open repair
    70 open surgery
    71 outcomes
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    73 postoperative complications
    74 postoperative length
    75 potential advantages
    76 repair
    77 resection
    78 retrospective study
    79 risk factor analysis
    80 risk factors
    81 short-term complications
    82 short-term outcomes
    83 side
    84 side 1
    85 stay
    86 study
    87 surgery
    88 tendency
    89 terms
    90 total
    91 treatment
    92 treatment of choice
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