2017 Volume 37 Issue 3 Pages 393-398
In a study of 29 cases of obturator hernia that we have experienced in our department from 2006 until 2016, the perioperative outcomes and therapeutic methods were retrospectively examined. The median patient age was 87 years, the median BMI was 16.7kg/m2, and the male-to-female ratio was 2：27. The majority of patients were thin, elderly females. In all the cases, the diagnosis was determined based on abdominal computed tomography (CT) findings, and the patients were treated by emergency surgery. The cases were divided into two groups：an intestinal resection group containing 13 patients, and a non-resection group containing 16 patients. The findings showed that in the intestinal resection group, the preoperative CRP levels were significantly higher, the period of time from the onset of disease until surgery was significantly longer, the incidence of postoperative complications was significantly higher, and the postoperative hospital stay was significantly longer. Next, the methods used for the repositioning of the incarcerated intestines were compared for 12 cases treated using the traction method and 9 cases treated using the water pressure method. Our findings showed that the rate of intestinal resections and the rate of intestinal injury during hernia reduction were lower in the water pressure method group. Our study suggested that early diagnosis and early surgery are important for preventing intestinal perforation and avoiding the resection of the incarcerated intestine, that the water pressure method offered more protection during the repositioning of the incarcerated intestine, and that it the water pressure method lead to a lower rate of intestinal resections as well as a better postoperative course.
