Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution
Abstract Background To explore the clinical characteristics, diagnosis and treatment of obturator hernia. Methods Eighty-six patients who were diagnosed as obturator hernia by abdominal CT in the Department of Gastrointestinal Surgery of our hospital between 2009 and 2019 were enrolled in this study...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-021-01125-2 |
| _version_ | 1818337047109173248 |
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| author | Zhengzheng Li Chaoyang Gu Mingtian Wei Xing Yuan Ziqiang Wang |
| author_facet | Zhengzheng Li Chaoyang Gu Mingtian Wei Xing Yuan Ziqiang Wang |
| author_sort | Zhengzheng Li |
| collection | DOAJ |
| description | Abstract Background To explore the clinical characteristics, diagnosis and treatment of obturator hernia. Methods Eighty-six patients who were diagnosed as obturator hernia by abdominal CT in the Department of Gastrointestinal Surgery of our hospital between 2009 and 2019 were enrolled in this study. Patient characteristics, surgical method, postoperative complications and mortalities were retrospectively reviewed. Results Thirty days mortality rate of 5.5% and 46.1% were observed in surgery group and non-surgery group, respectively. Surgery was performed as an emergency procedure in 59 cases and elective procedure in 14 cases depending on different hernia contents, intestinal necrosis and signs of peritonitis. In the emergency surgery group, segmental intestinal resection with anastomosis was performed in 24 patients (24/59, 40.7%). There were 4 deaths (4/59, 6.8%) in this group, all of which occurred in patients undergoing SI resections. In contrast, no bowel resection, postoperative complications, or death occurred in the elective surgery group. 3-year recurrence rates of 5.1% (3/59) and 7.1% (1/14) were observed in the emergency surgery and the elective surgery group, respectively. Conclusions CT examination plays an important role in improving the diagnostic rate of obturator hernia. Timely surgical treatment is the key to improve the efficacy of obturator hernia and prevent the deterioration of the condition. In addition, intestinal resection and postoperative complications may be the important factors leading to postoperative death. |
| first_indexed | 2024-12-13T14:49:00Z |
| format | Article |
| id | doaj.art-56b96be6b2ed411397c979a4625934a7 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-13T14:49:00Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-56b96be6b2ed411397c979a4625934a72022-12-21T23:41:23ZengBMCBMC Surgery1471-24822021-03-012111710.1186/s12893-021-01125-2Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institutionZhengzheng Li0Chaoyang Gu1Mingtian Wei2Xing Yuan3Ziqiang Wang4Department of Gastrointestinal Surgery, West China Hospital, Sichuan UniversityDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan UniversityDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan UniversityDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan UniversityDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan UniversityAbstract Background To explore the clinical characteristics, diagnosis and treatment of obturator hernia. Methods Eighty-six patients who were diagnosed as obturator hernia by abdominal CT in the Department of Gastrointestinal Surgery of our hospital between 2009 and 2019 were enrolled in this study. Patient characteristics, surgical method, postoperative complications and mortalities were retrospectively reviewed. Results Thirty days mortality rate of 5.5% and 46.1% were observed in surgery group and non-surgery group, respectively. Surgery was performed as an emergency procedure in 59 cases and elective procedure in 14 cases depending on different hernia contents, intestinal necrosis and signs of peritonitis. In the emergency surgery group, segmental intestinal resection with anastomosis was performed in 24 patients (24/59, 40.7%). There were 4 deaths (4/59, 6.8%) in this group, all of which occurred in patients undergoing SI resections. In contrast, no bowel resection, postoperative complications, or death occurred in the elective surgery group. 3-year recurrence rates of 5.1% (3/59) and 7.1% (1/14) were observed in the emergency surgery and the elective surgery group, respectively. Conclusions CT examination plays an important role in improving the diagnostic rate of obturator hernia. Timely surgical treatment is the key to improve the efficacy of obturator hernia and prevent the deterioration of the condition. In addition, intestinal resection and postoperative complications may be the important factors leading to postoperative death.https://doi.org/10.1186/s12893-021-01125-2Obturator herniaDiagnosisIntestinal necrosisSurgical treatmentMortalityRecurrence |
| spellingShingle | Zhengzheng Li Chaoyang Gu Mingtian Wei Xing Yuan Ziqiang Wang Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution BMC Surgery Obturator hernia Diagnosis Intestinal necrosis Surgical treatment Mortality Recurrence |
| title | Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution |
| title_full | Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution |
| title_fullStr | Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution |
| title_full_unstemmed | Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution |
| title_short | Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution |
| title_sort | diagnosis and treatment of obturator hernia retrospective analysis of 86 clinical cases at a single institution |
| topic | Obturator hernia Diagnosis Intestinal necrosis Surgical treatment Mortality Recurrence |
| url | https://doi.org/10.1186/s12893-021-01125-2 |
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