Clinical Supervision of the Restrained Hernia of the Obturator Channel

Abstract


Relevance Obturator hernias in a surgical practice meet extremely seldom. In a world practice it is described only 600 cases of hernias obturator apertures. Hernias obturator the channel make 0,05 % of hernias of a belly wall. To diagnose obturatoria a hernia very inconveniently. Being complex diagnostic cases, hernias obturator the channel come to light at a stage of complications and are accompanied high death rate. Death rate at the given pathology makes from 12 % up to 70 %, with postoperative complications in 11,6 % cases. The greatest supervision of the given pathology the Japanese colleagues have.

Materials and methods The review of the literature and one author’s supervision of a hernia obturator the channel Is presented. The analyzed clinical material confirms, that owing to rare occurrence and scarcity of clinical displays obturatoria the hernia is a complex diagnostic case. The final diagnosis has been established during operative intervention, executed resexshin eunae.  Lean gut with imposing anastomosis, but in the early postoperative period on a background of depression hemodynamic there has come a lethal outcome.

Conclusion Obturator hernias in view of rare occurrence and scarcity of clinical displays are complex diagnostic cases. The knowledge of symptoms characteristic for the given pathology, including HRS a symptom and use of a computer tomography of a stomach and a basin has extremely great value, in many respects defining an outcome of disease.

 


Arkhangelsk City Clinical Hospital № 7, Arkhangelsk, Russian Federation

Author for correspondence.
Email: elena.liza2011@yandex.ru
MD, Assoc., Head of the surgical department of the Arkhangelsk City Clinical Hospital № 7, Associate Professor of Surgery Hospital, Northern State Medical University, Arkhangelsk

Northern State Medical University, Arkhangelsk, Russian Federation

Email: author@vestnik-surgery.com
MD, Assoc. Department of Hospital Surgery, Northern State Medical University, Arkhangelsk

  1. Chakhvadze B.Iu., Nakashidze D.Kh., Kashibadze K.N., Beridze A.L. Opisanie sluchaev ushchemlennyh gryzh zapiratel'nogo otverstiya.[Description of the cases of strangulated hernias of the obturator foramen]. Meditsinskie novosti Gruzii, 2010; 2(179): 7-10.
  2. Dundamadappa S.K., Tsou I.Y., Goh J.S. Kliniki v diagnosticheskoj vizualizacii(107). [Clinics in diagnostic imaging (107)]. Singapore Med. J., 2006; 47: 8894.
  3. Gray S.W., Skandalakis J.E., Soria R.E., Rowe J.S. Mladshaya ushchemlennaya zapiratel'naya gryzha. [Jr. Strangulated obturator hernia]. Surgery, 1974; 75: 20-27.
  4. Hannington-Kiff J.G. «Otsutstvuyushchij refleks privodyashchuyu myshcu bedra v zapiratel'nuyu gryzhu». [«Absent thigh adductor reflex in obturator hernia»]. Lancet 1 (8161), January 1980; 180.
  5. Howship. J. Prakticheskie zamechaniya o diskriminacii i vozniknovenii hirurgicheskih boleznej. [Practical Remarks on the Discrimination and Appearance of Surgical Disease]. London, Churchill, 1840.
  6. Kono T, Hyuga T, Honda Y. Zapiratel'naya gryzha – statisticheskoe issledovanie 257 vnutrennih del za poslednie shest' let. [Obturator hernia – A statistical study of 257 domestic cases in the past six years]. [Japanese]. J. Jpn. Surg. Assoc., 2002; 63: 1847-1852.
  7. Mantoo S.K., Mak K., Tan T.J. Zapiratel'naya gryzha: diagnostika i lechenie v sovremennuyu ehpohu. [Obturator hernia: diagnosis and treatment in the modern era]. Singapore Med. J., 2009; 50(9) : 866 -870.
  8. Masashi Haraguchi, Shigetoshi Matsuo, Kengo Kanetaka, at all. Gryzha v stareyushchem obshchestve. [Hernia in an Ageing Society]. Department of Surgery, Nagasaki Prefectural Shimabara Hospital, Nagasaki, Japan .Department of Surgery, Graduate School of Biochemical Sciences, Nagasaki University, Nagasaki, Japan, June 2007; 36: 6.
  9. M.H. von Romberg Pathologie und Therapie der Senisbilitäts- und Motilitätsneurosen. 1857;. 3rd edition (unfinished) of Romberg’s Lehrbuch der Nervenkrankheiten des Menschen, 89.
  10. Moreno-Egea A., la Calle M.C., Torralba-Martínez J.A. Zapiratel'naya gryzha kak prichina hronicheskoj boli posle pahovoj gernioplastiki: ehlektivnye upravleniya s pomoshch'yu tomografii i ambulatorii obshchej vnebryushinnoj laparoskopii. [Obturator hernia as a cause of chronic pain after inguinal hernioplasty: elective management using tomography and ambulatory total extraperitoneal laparoscopy]. Surg. Laparosc. Endosc. Percutan. Tech., 2006; 16: 54-57.
  11. Pandey R., Maqboo A.,Jayacyadran N. Zapiratel'naya gryzha: diagnostika. [Obturator hernia: a diagnostic]. Hernia, 2009: 13: 1: 97-99.
  12. Shinji Murai, Tomotaka Akatru, Nobushise Yabe. [Impacted obturator hernia treated successfully with kugel repair: repot of two cases]. Surg. Today, 2009; 39: 821-824.
  13. Skandalakis L. J., Skandalakis P. N., Colborn G. L., Skandalakis J. E. Zapiratel'naya gryzha: ehmbriologiya, anatomiya, hirurgiya. [Obturator hernia: embryology, anatomy, surgery]. Hernia, June 2000; 4 (2): 121-128.
  14. William Wesley Campbell, Russell N.DeJong, Armin F. Haerer. "DeJong’s" v nevrologicheskom obsledovanii. [DeJong’s the neurologic examination]. Lippincott Williams & Wilkins, 2005; 480.
  15. Wu JM, Lin HF, Chen KH, Tseng LM, Huang SH. Laparoskopicheskaya predbryushinnaya setki remont ushchemlennaya zapiratel'naya gryzha i kontralateral'noj pryamoj pahovoj gryzhi. [Laparoscopic preperitoneal mesh repair of incarcerated obturator hernia and contralateral direct inguinal hernia.] J. Laparoendosc. Adv. Surg. Tech., 2006; 16: 616-619.

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