Sciatic hernia: laparoscopic transabdominal extraperitoneal repair with plug and patch.
Sciatic hernia is a rare pelvic floor hernia that occurs through the greater or lesser sciatic foramen. Sciatic hernias often present as pelvic pain, particularly in women, and diagnosis can be difficult. Transabdominal and transgluteal operative approaches, including laparoscopic repair, have been reported. We show a laparoscopic technique using a plug of human allogeneic dermal matrix and lightweight polypropylene extraperitoneal patch avoiding fixation. The patient had significant improvement of her symptoms and no complications at 12 months follow-up.
Department of Surgery, Center for Minimally Invasive Surgery, University of Kentucky College of Medicine, Lexington, KY 40536-0298, USA. acbern00@uky.edu
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AC
Bernard
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Lee
J
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Hoskins
J
J
Lee
S
S
Patel
G
G
Ginn
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B
Maley
D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D046449:Hernia, Abdominal / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D017773:Pelvic Floor / Q000601:surgery*; D011126:Polypropylenes; D012584:Sciatic Nerve; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed
D011126:Polypropylenes