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KMID : 0978820020050010066
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2002 Volume.5 No. 1 p.66 ~ p.70
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Incarcerated Obturator Hernia Successfully Treated by Laparoscopy
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조규석/Gyu Seok Cho
김형철/신응진/정민/박성진/이혜경/Hyung Chul Kim/Eung Jin Shin/Min Chung/Seong Jin Park/Hae Kyung Lee
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Abstract
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Obturator hernia is extremely rare and represents a therapeutic and diagnostic challenge. The diagnosis is infrequently made preoperatively because of the nonspecific clinical and radiologic signs that in turn sugical treatment, which is
responsible for
the known increase in morbidity and mortality.
Recently, we experienced incarcerated obturator hernia that was diagnosed and successfully treated using laparoscopic surgery. An 66-years-old man presented with intestinal obstruction. Abdomino-pelvic CT showed an obturator hernia in his right
obturator orifice. Under the general anesthesia, the strangulated ileum was reucted using laparoscopic surgery. Because the hernial opening measured 1㎝ in diameter, it could be closed with purse string suture. The perforated ileum was wedge
resected,
and the bowed was primary reparied extracorporeally with a minimal skin incision.
Laparoscopic surgery in incarcerated obturator hernia is a useful techique in the diagnosis and treatment.
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