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Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 71-74

Laparoscopic total extraperitoneal obturator hernia repair in critical challenging patients

Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, China

Correspondence Address:
Dr. Junsheng Li
Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing 210009
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijawhs.ijawhs_6_20

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AIM AND PERSPECTIVE: Obturator hernia is an uncommon surgical disease, a condition predominantly affected the elderly, emaciated, female patients. Various surgical procedures have been used to treat this disease, including open and laparoscopic approaches; however, in some special conditions, the technique is still challenging. METHODS: The technique details of total extraperitoneal (TEP) repair in the treatment of obturator hernia in critical challenging conditions were described. RESULTS: The challenging obturator patients had high risk of comorbidities, including massive ascites, partial intestinal obstruction, malnutrition, and previous abdominal surgeries. All the procedures were successful; patients had no modality and recurrences and chronic pain. One patient developed wound dehiscence and healed with bedside suture. CONCLUSION: The present report justifies the feasibility of TEP obturator hernia repair in challenging conditions.

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