Experience of Surgery under Local Anesthesia for Incarcerated Obturator Hernia Following Non-Invasive Reduction

Abstract

Obturator hernia is a relatively rare disease ; however, the incidences of obturator hernia are increasing with the recent aging population and advances in diagnostic imaging. In the past, it was generally recognized as a disease that required emergency laparotomy ; however, in recent reports, there has been an increased use of minimally invasive surgeries, such as laparoscopic and inguinal methods. Additionally, neither intestinal necrosis nor perforation are apparent ; therefore, elective surgery is performed after non-invasive reduction. At our hospital, when intestinal injury is not obvious, we first perform non-invasive reduction, hospitalize the patient for follow-up observation, and then perform anterior approach surgery under local and conduction anesthesia. Since 2010, we have reviewed 16 cases (18 lesions) of obturator hernia, and we discuss the treatment methods in this report.