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Single‐incision laparoscopic totally extraperitoneal obturator hernia repair in a patient on antiplatelet therapy: A case report
Author(s) -
Wakasugi Masaki,
Masuzawa Toru,
Tei Mitsuyoshi,
Omori Takeshi,
Ueshima Shigeyuki,
Tori Masayuki,
Akamatsu Hiroki
Publication year - 2015
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12132
Subject(s) - medicine , surgery , obturator hernia , perioperative , hernia , dissection (medical) , physical examination , abdomen
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 H owship– R omberg 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.