Obturator hernias: A review of the laparoscopic approach

Background : Obturator hernias (OH) account for a rare presentation to the surgical unit usually associated with bowel obstruction and strangulation. The treatment of this condition is classical laparotomy with repair of the hernia and bowel resection, if deemed necessary; recently, the laparoscopic...

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Main Authors: Samer Deeba, Sanjay Purkayastha, Ara Darzi, Emmanouil Zacharakis
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=4;spage=201;epage=204;aulast=Deeba
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author Samer Deeba
Sanjay Purkayastha
Ara Darzi
Emmanouil Zacharakis
author_facet Samer Deeba
Sanjay Purkayastha
Ara Darzi
Emmanouil Zacharakis
author_sort Samer Deeba
collection DOAJ
description Background : Obturator hernias (OH) account for a rare presentation to the surgical unit usually associated with bowel obstruction and strangulation. The treatment of this condition is classical laparotomy with repair of the hernia and bowel resection, if deemed necessary; recently, the laparoscopic approach has been reported in literature. This review examines the existing evidence of the safety and effectiveness of the laparoscopic approach for the management of OH. Materials and Methods: We have conducted a systematic review of the cases reported in the literature between 1991 and 2009, using Medline with PubMed as the search engine, as well as Ovid, Embase, Cochrane Collaboration and Google Scholar databases to identify articles in English language reporting on laparoscopic management for the treatment of this condition. Results: A total of 17 articles reporting on 28 cases were found. We describe the pooled data for demographics, operative time, hospital stay, morbidities and method of repair. We also compare to the results of the laparoscopic repair of other types of hernias in the literature. Conclusion: This approach was found to be a safe and effective approach for the repair of OH as compared to the classical open approach; however, its adoption as the gold standard needs further multicenter trials.
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spelling doaj.art-e1f6897e020e401a8d7dfa59cdc133492022-12-22T01:15:08ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212011-01-017420120410.4103/0972-9941.85642Obturator hernias: A review of the laparoscopic approachSamer DeebaSanjay PurkayasthaAra DarziEmmanouil ZacharakisBackground : Obturator hernias (OH) account for a rare presentation to the surgical unit usually associated with bowel obstruction and strangulation. The treatment of this condition is classical laparotomy with repair of the hernia and bowel resection, if deemed necessary; recently, the laparoscopic approach has been reported in literature. This review examines the existing evidence of the safety and effectiveness of the laparoscopic approach for the management of OH. Materials and Methods: We have conducted a systematic review of the cases reported in the literature between 1991 and 2009, using Medline with PubMed as the search engine, as well as Ovid, Embase, Cochrane Collaboration and Google Scholar databases to identify articles in English language reporting on laparoscopic management for the treatment of this condition. Results: A total of 17 articles reporting on 28 cases were found. We describe the pooled data for demographics, operative time, hospital stay, morbidities and method of repair. We also compare to the results of the laparoscopic repair of other types of hernias in the literature. Conclusion: This approach was found to be a safe and effective approach for the repair of OH as compared to the classical open approach; however, its adoption as the gold standard needs further multicenter trials.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=4;spage=201;epage=204;aulast=DeebaLaparoscopyobturator herniareview
spellingShingle Samer Deeba
Sanjay Purkayastha
Ara Darzi
Emmanouil Zacharakis
Obturator hernias: A review of the laparoscopic approach
Journal of Minimal Access Surgery
Laparoscopy
obturator hernia
review
title Obturator hernias: A review of the laparoscopic approach
title_full Obturator hernias: A review of the laparoscopic approach
title_fullStr Obturator hernias: A review of the laparoscopic approach
title_full_unstemmed Obturator hernias: A review of the laparoscopic approach
title_short Obturator hernias: A review of the laparoscopic approach
title_sort obturator hernias a review of the laparoscopic approach
topic Laparoscopy
obturator hernia
review
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=4;spage=201;epage=204;aulast=Deeba
work_keys_str_mv AT samerdeeba obturatorherniasareviewofthelaparoscopicapproach
AT sanjaypurkayastha obturatorherniasareviewofthelaparoscopicapproach
AT aradarzi obturatorherniasareviewofthelaparoscopicapproach
AT emmanouilzacharakis obturatorherniasareviewofthelaparoscopicapproach