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Laparoscopic transabdominal preperitoneal hernioplasty for recurrent obturator hernia: A case report
Author(s) -
Amiki Manabu,
Goto Manabu,
Tomizawa Yuki,
Sugiyama Atsuhiko,
Sakon Ryota,
Inoue Takahiro,
Ito Shingo,
Oneyama Masataka,
Shimojima Reiko,
Hara Yoshiaki,
Narita Kazuhiro,
Tachimori Yuji,
Sekikawa Koji
Publication year - 2020
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.12739
Subject(s) - medicine , obturator hernia , surgery , hernia repair , hernia , surgical mesh , laparoscopy , general surgery
Reports of recurrence after obturator hernia repair are few. We describe the case of an 89‐year‐old woman who presented to us with a thrice recurrent obturator hernia. She had undergone open non‐mesh repair twice and then laparoscopic non‐mesh repair. She was readmitted to our hospital 6 months after the laparoscopic repair. Manual reduction was successful, paving the way for elective transabdominal preperitoneal repair. During the endoscopic repair, surgical mesh was placed extraperitoneally over the hernia defect and then fixed to Cooper's ligament with absorbable tacks. The patient was discharged on postoperative day 2 without complications. In the 2 months that have passed since the surgery there has been no sign of recurrence, but the patient will be carefully followed up. Repair of a recurrent obturator hernia is technically challenging; however, the transabdominal preperitoneal approach seems to be reliable and safe.