Abstract
Here we present the usefulness of noninvasive reduction of obturator hernia. We studied 47 of 464 of, our and other reported cases from 2007 to 2013 in Japan. A total of 26% cases were noninvasively reduced by compression with an ultrasonic probe and manual compression, and we then checked if intestinal incarceration was reduced using imaging. These patients underwent radical surgery, electively or without general anesthesia, or minimally invasive treatment such as an inguinal approach or a laparoscopic technique. Morbidity was significantly decreased after noninvasive reduction compared with the other technique. If there is no evidence of obvious intestinal ischemia, noninvasive reduction of obturator hernia could be the first choice and a minimally invasive option for elderly patients.
