Robotic transabdominal preperitoneal repair for bilateral obturator hernia: a video vignette

Obturator hernias (OHs) are a rare cause of bowel obstruction that requires immediate surgical intervention to prevent morbidity and mortality. Patients with OHs present with acute intestinal obstruction secondary to incarceration, with a high morbidity and mortality rate due to delayed diagnosis an...

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Main Authors: Sungwoo Jung, Hyung Soon Lee
Format: Article
Language:English
Published: The Korean Society of Endo-Laparoscopic & Robotic Surgery 2024-03-01
Series:Journal of Minimally Invasive Surgery
Subjects:
Online Access:http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.1.40
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author Sungwoo Jung
Hyung Soon Lee
author_facet Sungwoo Jung
Hyung Soon Lee
author_sort Sungwoo Jung
collection DOAJ
description Obturator hernias (OHs) are a rare cause of bowel obstruction that requires immediate surgical intervention to prevent morbidity and mortality. Patients with OHs present with acute intestinal obstruction secondary to incarceration, with a high morbidity and mortality rate due to delayed diagnosis and treatment. Although several surgical approaches have been reported, a standard approach for OH treatment has not yet been established. Here, we report the case of a 74-year-old woman who presented with bilateral OHs. The patient presented at our institution with pain in the left lower quadrant. Computed tomography revealed preperitoneal fat in both obturator foramen. Robotic transabdominal preperitoneal (R-TAPP) bilateral OH repair was performed, and a mesh was placed over both obturator foramen. The patient recovered without postoperative complications and was discharged on postoperative day 2. This suggests that the R-TAPP approach is safe for OH repair without incarceration.
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spelling doaj-art-f2e0f2f5d4c84a4280b9cc3e9d0535e42025-08-20T03:01:02ZengThe Korean Society of Endo-Laparoscopic & Robotic SurgeryJournal of Minimally Invasive Surgery2234-778X2024-03-01271404310.7602/jmis.2024.27.1.40jmis.2024.27.1.40Robotic transabdominal preperitoneal repair for bilateral obturator hernia: a video vignetteSungwoo Jung0Hyung Soon Lee1Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, KoreaDepartment of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, KoreaObturator hernias (OHs) are a rare cause of bowel obstruction that requires immediate surgical intervention to prevent morbidity and mortality. Patients with OHs present with acute intestinal obstruction secondary to incarceration, with a high morbidity and mortality rate due to delayed diagnosis and treatment. Although several surgical approaches have been reported, a standard approach for OH treatment has not yet been established. Here, we report the case of a 74-year-old woman who presented with bilateral OHs. The patient presented at our institution with pain in the left lower quadrant. Computed tomography revealed preperitoneal fat in both obturator foramen. Robotic transabdominal preperitoneal (R-TAPP) bilateral OH repair was performed, and a mesh was placed over both obturator foramen. The patient recovered without postoperative complications and was discharged on postoperative day 2. This suggests that the R-TAPP approach is safe for OH repair without incarceration.http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.1.40obturator herniarobotic surgical proceduresherniorrhaphy
spellingShingle Sungwoo Jung
Hyung Soon Lee
Robotic transabdominal preperitoneal repair for bilateral obturator hernia: a video vignette
Journal of Minimally Invasive Surgery
obturator hernia
robotic surgical procedures
herniorrhaphy
title Robotic transabdominal preperitoneal repair for bilateral obturator hernia: a video vignette
title_full Robotic transabdominal preperitoneal repair for bilateral obturator hernia: a video vignette
title_fullStr Robotic transabdominal preperitoneal repair for bilateral obturator hernia: a video vignette
title_full_unstemmed Robotic transabdominal preperitoneal repair for bilateral obturator hernia: a video vignette
title_short Robotic transabdominal preperitoneal repair for bilateral obturator hernia: a video vignette
title_sort robotic transabdominal preperitoneal repair for bilateral obturator hernia a video vignette
topic obturator hernia
robotic surgical procedures
herniorrhaphy
url http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.1.40
work_keys_str_mv AT sungwoojung robotictransabdominalpreperitonealrepairforbilateralobturatorherniaavideovignette
AT hyungsoonlee robotictransabdominalpreperitonealrepairforbilateralobturatorherniaavideovignette