Obturator hernia as a cause of chronic pain after inguinal hernioplasty: elective management using tomography and ambulatory total extraperitoneal laparoscopy.
Obturator hernia is a rare variety of pelvic hernia. Preoperative diagnosis is still uncommon and influences treatment and prognosis. Clinical suspicion and tomography are fundamental for establishing a preoperative diagnosis. Subsequently, elective treatment via the total extraperitoneal laparoscopic approach seems to offer the best results for both the patient and the hospital. This management might reduce the high rates of associated morbidity and mortality. We present the case of a patient with chronic pelvic pain after hernia surgery in whom tomography confirmed the existence of a bilateral obturator hernia. Details are given of diagnostic and therapeutic management using ambulatory total extraperitoneal laparoscopy. We recommend ruling out obturator hernia as a possible cause of chronic pain after hernia repair.
Abdominal Wall Unit, Department of General Surgery and Radiology, J.M. Morales Meseguer Hospital, Murcia, Spain. morena.egea@ono.com
Alfredo
A
Moreno-Egea
Miquel Corral
MC
la Calle
José Antonio
JA
Torralba-Martínez
Germán
G
Morales Cuenca
Enrique
E
Girela Baena
Pablo
P
del Pozo
José Luis
JL
Aguayo-Albasini
D000556:Ambulatory Surgical Procedures; D002908:Chronic Disease; D005260:Female; D006552:Hernia, Inguinal / Q000150:complications / Q000601:surgery*; D006553:Hernia, Obturator / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D017699:Pelvic Pain / Q000209:etiology*; D011183:Postoperative Complications; D012008:Recurrence; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed