title: Single-incision laparoscopic totally extraperitoneal obturator hernia repair in a patient on antiplatelet therapy: a case report.
abstract: An 83-year-old woman who complained of right lower limb discomfort was diagnosed with a right obturator hernia by CT scan. On examination, she had a soft and flat abdomen without signs of peritoneal irritation. The Howship-Romberg sign was present. She had a history of vasospastic angina and paroxysmal supraventricular tachycardia, and took aspirin and dipyridamole until she was admitted to the hospital. Exploratory laparoscopy identified a spontaneously reduced small bowel from the right obturator canal, but there were no signs of ischemic and necrotic bowel. The patient underwent SILS for totally extraperitoneal obturator hernia repair without a dissection balloon. The patient recovered without perioperative complications such as hemorrhage and thrombotic episodes. She remains well, and CT scans showed no signs of obturator hernia recurrence at the 7-month follow-up.
authors.affiliation: Department of Surgery, Osaka Police Hospital, Osaka, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Wakasugi
authors.forename: Toru
authors.initials: T
authors.lastname: Masuzawa
authors.forename: Mitsuyoshi
authors.initials: M
authors.lastname: Tei
authors.forename: Takeshi
authors.initials: T
authors.lastname: Omori
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Ueshima
authors.forename: Masayuki
authors.initials: M
authors.lastname: Tori
authors.forename: Hiroki
authors.initials: H
authors.lastname: Akamatsu
mesh_terms: D000369:Aged, 80 and over; D004176:Dipyridamole / Q000627:therapeutic use; D005260:Female; D006553:Hernia, Obturator / Q000150:complications / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D013526:Surgical Mesh; D013617:Tachycardia, Supraventricular / Q000150:complications / Q000188:drug therapy
chemical_list: D010975:Platelet Aggregation Inhibitors; D004176:Dipyridamole
keywords: Obturator hernia; single-incision laparoscopic surgery (SILS); totally extraperitoneal inguinal hernia repair (TEP)