Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Multiple Pelvic Hernias, Including Sciatic Hernia, Repaired by Laparoscopic Approach
Kota INAGAKITaisuke HARADAShion NODAJunpei SHIBATAShinichi FUJITAKEMasataka NEGITA
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2022 Volume 83 Issue 12 Pages 2103-2107

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Abstract

The patient was an 83-year-old female who had been followed for a long time as an orthopedic symptom due to leg pain. When she visited our hospital with a complaint of vomiting, she was diagnosed with a left incarcerated obturator hernia and a right sciatic hernia on computed tomography. The incarceration was manually reduced, and laparoscopic repair was electively performed for each hernia. During the surgery, a direct inguinal hernia on the right side, an indirect inguinal hernia on the left side, and an obturator hernia were additionally noted. The laparoscopic surgery was performed, and the hernias on the left side were collectively repaired with a transabdominal preperitoneal approach. The sacs of the obturator and sciatic hernias on the right side were inverted and ligated, respectively ; in addition, the obturator hernia sac was crammed into the sciatic hernia ring and secured with sutures. Pelvic hernias should be considered as a possibility when older, skinny females complain of leg pain. As multiple hernias may often coexist, laparoscopic surgery, which can be confirmed and repaired simultaneously, is useful. Since sciatic hernia is a very rare disease and there are only a few reports of it being repaired laparoscopically, we herein report this case with some literature review.

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© 2022 Japan Surgical Association
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