Obturator hernia natural history, complications and prognosis: Difference between revisions
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{{Obturator hernia}} | {{Obturator hernia}} | ||
==Overview== | ==Overview== | ||
[[Obturator hernia]] is a rare [[hernia]] accounting for less than 1% of all intra abdominal hernias. Morbidity and mortality associated with [[obturator hernia]] can be reduced with early diagnosis and prompt surgical intervention. | |||
==Natural History, Complications, and Prognosis== | ==Natural History, Complications, and Prognosis== | ||
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===Natural History=== | ===Natural History=== | ||
*[[Obturator hernia]] is a rare [[hernia]] accounting for less than 1% of all intra abdominal hernias.<ref> name="pmid28686923">{{cite journal| author=Sá NC, Silva VCM, Carreiro PRL, Matos Filho AS, Lombardi IA| title=Rare case of incarcerated obturator hernia: Case report and review of literature. | journal=Int J Surg Case Rep | year= 2017 | volume= 37 | issue= | pages= 157-160 | pmid=28686923 | doi=10.1016/j.ijscr.2017.06.024 | pmc=5499107 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28686923 }} </ref> | |||
*Clinical diagnosis is considered challenging as symptoms are nonspecific. | |||
*[[Obturator hernia]] should be strongly suspected in an elderly woman with [[small bowel obstruction]] and [[Obturator neuralgia]].<ref> name="pmid7399953">{{cite journal| author=Schneider R, Mosimann F, Critsotakis J| title=[Obturator hernia, an equivocal diagnosis]. | journal=Helv Chir Acta | year= 1980 | volume= 46 | issue= 5-6 | pages= 747-50 | pmid=7399953 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7399953 }} </ref> | |||
*[[Obturator hernia]] should be included in the elderly women with chronic pelvic pain. | |||
*Morbidity and mortality associated with [[Obturator hernia]] can be reduced with early diagnosis and prompt surgical intervention.<ref> name="pmid22408570">{{cite journal| author=Cai X, Song X, Cai X| title=Strangulated intestinal obstruction secondary to a typical obturator hernia: a case report with literature review. | journal=Int J Med Sci | year= 2012 | volume= 9 | issue= 3 | pages= 213-5 | pmid=22408570 | doi=10.7150/ijms.3894 | pmc=3298012 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22408570 }} </ref> | |||
===Complications=== | ===Complications=== | ||
*Common complications of [[obturator hernia]] include<ref> name="pmid23973903">{{cite journal| author=Hodgins N, Cieplucha K, Conneally P, Ghareeb E| title=Obturator hernia: A case report and review of the literature. | journal=Int J Surg Case Rep | year= 2013 | volume= 4 | issue= 10 | pages= 889-92 | pmid=23973903 | doi=10.1016/j.ijscr.2013.07.012 | pmc=3785927 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23973903 }} </ref> | |||
**[[Bowel obstruction]] | |||
**[[Strangulation]] or [[Incarceration]] | |||
**[[Perforation]] | |||
**[[Bowel Ischemia]] | |||
===Prognosis=== | |||
*[[Laproscopic]] approach has lower post-operative complication rates when compared to open [[laparotomy]] in stable patients.<ref> name="pmid28686923">{{cite journal| author=Sá NC, Silva VCM, Carreiro PRL, Matos Filho AS, Lombardi IA| title=Rare case of incarcerated obturator hernia: Case report and review of literature. | journal=Int J Surg Case Rep | year= 2017 | volume= 37 | issue= | pages= 157-160 | pmid=28686923 | doi=10.1016/j.ijscr.2017.06.024 | pmc=5499107 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28686923 }} </ref> | |||
*[[Obturator hernias]] carry significant morbidity and mortality which can be reduced with early diagnosis and surgical intervention.<ref> name="pmid23973903">{{cite journal| author=Hodgins N, Cieplucha K, Conneally P, Ghareeb E| title=Obturator hernia: A case report and review of the literature. | journal=Int J Surg Case Rep | year= 2013 | volume= 4 | issue= 10 | pages= 889-92 | pmid=23973903 | doi=10.1016/j.ijscr.2013.07.012 | pmc=3785927 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23973903 }} </ref> | |||
==Reference== | ==Reference== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Latest revision as of 15:47, 21 August 2020
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Overview
Obturator hernia is a rare hernia accounting for less than 1% of all intra abdominal hernias. Morbidity and mortality associated with obturator hernia can be reduced with early diagnosis and prompt surgical intervention.
Natural History, Complications, and Prognosis
Natural History
- Obturator hernia is a rare hernia accounting for less than 1% of all intra abdominal hernias.[1]
- Clinical diagnosis is considered challenging as symptoms are nonspecific.
- Obturator hernia should be strongly suspected in an elderly woman with small bowel obstruction and Obturator neuralgia.[2]
- Obturator hernia should be included in the elderly women with chronic pelvic pain.
- Morbidity and mortality associated with Obturator hernia can be reduced with early diagnosis and prompt surgical intervention.[3]
Complications
- Common complications of obturator hernia include[4]
Prognosis
- Laproscopic approach has lower post-operative complication rates when compared to open laparotomy in stable patients.[5]
- Obturator hernias carry significant morbidity and mortality which can be reduced with early diagnosis and surgical intervention.[6]
Reference
- ↑ name="pmid28686923">Sá NC, Silva VCM, Carreiro PRL, Matos Filho AS, Lombardi IA (2017). "Rare case of incarcerated obturator hernia: Case report and review of literature". Int J Surg Case Rep. 37: 157–160. doi:10.1016/j.ijscr.2017.06.024. PMC 5499107. PMID 28686923.
- ↑ name="pmid7399953">Schneider R, Mosimann F, Critsotakis J (1980). "[Obturator hernia, an equivocal diagnosis]". Helv Chir Acta. 46 (5–6): 747–50. PMID 7399953.
- ↑ name="pmid22408570">Cai X, Song X, Cai X (2012). "Strangulated intestinal obstruction secondary to a typical obturator hernia: a case report with literature review". Int J Med Sci. 9 (3): 213–5. doi:10.7150/ijms.3894. PMC 3298012. PMID 22408570.
- ↑ name="pmid23973903">Hodgins N, Cieplucha K, Conneally P, Ghareeb E (2013). "Obturator hernia: A case report and review of the literature". Int J Surg Case Rep. 4 (10): 889–92. doi:10.1016/j.ijscr.2013.07.012. PMC 3785927. PMID 23973903.
- ↑ name="pmid28686923">Sá NC, Silva VCM, Carreiro PRL, Matos Filho AS, Lombardi IA (2017). "Rare case of incarcerated obturator hernia: Case report and review of literature". Int J Surg Case Rep. 37: 157–160. doi:10.1016/j.ijscr.2017.06.024. PMC 5499107. PMID 28686923.
- ↑ name="pmid23973903">Hodgins N, Cieplucha K, Conneally P, Ghareeb E (2013). "Obturator hernia: A case report and review of the literature". Int J Surg Case Rep. 4 (10): 889–92. doi:10.1016/j.ijscr.2013.07.012. PMC 3785927. PMID 23973903.