Abstract
[Purpose] The usefulness of elective surgery after noninvasive manual reduction has been reported for cases of obturator hernia, but there is no consensus regarding indication of manual reduction. Therefore, we examined obturator hernia cases that we experienced in our hospital and evaluated the indication of manual reduction. [Materials and Methods] Thirty-three patients who underwent emergent surgery in the period from January 2003 to May 2013 were divided into a non bowel resection group (group A) and bowel resection group (group B). [Results] The average CRP level in group A was significantly lower than that in group B. The duration of symptoms in group A was significantly shorter than that in group B. The ratio of cases in which the contrast effect of the strangulated intestine on enhanced CT was maintained was higher in group A than in group B. [Conclusion] Noninvasive manual reduction and elective surgery should be considered in the case in which the contrast effect of the strangulated intestine has been maintained within 24 hours after onset and in which CRP level is less than 1.0mg/dl.
