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| Year : 2020 | Volume
: 3
| Issue : 2 | Page : 71-74 |
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Laparoscopic total extraperitoneal obturator hernia repair in critical challenging patients
Junsheng Li, Xiangyu Shao, Tao Cheng, Zhenling Ji
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
China
 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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