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Obturator hernia

MedGen UID:
6820
•Concept ID:
C0019310
•
Disease or Syndrome
Synonyms: Hernia, Obturator; Hernias, Obturator; Obturator Hernia; Obturator Hernias
SNOMED CT: Obturator hernia (60627008)

Definition

A pelvic hernia through the obturator foramen, a large aperture in the hip bone normally covered by a membrane. Obturator hernia can lead to intestinal incarceration and INTESTINAL OBSTRUCTION. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVObturator hernia

Professional guidelines

PubMed

Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution.
Li Z, Gu C, Wei M, Yuan X, Wang Z
BMC Surg 2021 Mar 9;21(1):124. doi: 10.1186/s12893-021-01125-2. PMID: 33750366Free PMC Article
Obturator hernia: anatomy, embryology, diagnosis, and treatment.
Petrie A, Tubbs RS, Matusz P, Shaffer K, Loukas M
Clin Anat 2011 Jul;24(5):562-9. Epub 2011 Feb 14 doi: 10.1002/ca.21097. PMID: 21322061
Inguinal Hernia: classification, diagnosis and treatment--classic, traumatic and Sportsman's hernia.
Holzheimer RG
Eur J Med Res 2005 Mar 29;10(3):121-34. PMID: 15851379

Recent clinical studies

Etiology

Management and outcomes of obturator hernias: a systematic review and meta-analysis.
Burla MM, Gomes CP, Calvi I, Oliveira ESC, Hora DAB, Mao RD, de Figueiredo SMP, Lu R
Hernia 2023 Aug;27(4):795-806. Epub 2023 Jun 4 doi: 10.1007/s10029-023-02808-w. PMID: 37270718
Manual reduction for incarcerated obturator hernia.
Gokon Y, Ohki Y, Ogino T, Hatoyama K, Oikawa T, Shimizu K, Katsura K, Abe T, Sato K
Sci Rep 2023 Apr 4;13(1):5504. doi: 10.1038/s41598-023-31634-4. PMID: 37015958Free PMC Article
Obturator hernia: Clinical analysis of 11 patients and review of the literature.
Park J
Medicine (Baltimore) 2020 Aug 21;99(34):e21701. doi: 10.1097/MD.0000000000021701. PMID: 32846788Free PMC Article
Clinical presentation of obturator hernia and review of the literature.
Igari K, Ochiai T, Aihara A, Kumagai Y, Iida M, Yamazaki S
Hernia 2010 Aug;14(4):409-13. Epub 2010 Apr 27 doi: 10.1007/s10029-010-0658-z. PMID: 20422238
Obturator hernia.
Bjork KJ, Mucha P Jr, Cahill DR
Surg Gynecol Obstet 1988 Sep;167(3):217-22. PMID: 3413651

Diagnosis

Obturator hernia.
Watanabe M, Kou T, Kawamoto H, Yazumi S
Intern Med 2013;52(11):1269. doi: 10.2169/internalmedicine.52.0307. PMID: 23728570
Obturator hernia revisited: surgical anatomy, embryology, diagnosis, and technique of repair.
Stamatiou D, Skandalakis LJ, Zoras O, Mirilas P
Am Surg 2011 Sep;77(9):1147-57. PMID: 21944623
Obturator hernia: anatomy, embryology, diagnosis, and treatment.
Petrie A, Tubbs RS, Matusz P, Shaffer K, Loukas M
Clin Anat 2011 Jul;24(5):562-9. Epub 2011 Feb 14 doi: 10.1002/ca.21097. PMID: 21322061
Obturator hernia.
Losanoff JE, Richman BW, Jones JW
J Am Coll Surg 2002 May;194(5):657-63. doi: 10.1016/s1072-7515(02)01137-7. PMID: 12022607
Obturator hernia.
Bjork KJ, Mucha P Jr, Cahill DR
Surg Gynecol Obstet 1988 Sep;167(3):217-22. PMID: 3413651

Therapy

Management and outcomes of obturator hernias: a systematic review and meta-analysis.
Burla MM, Gomes CP, Calvi I, Oliveira ESC, Hora DAB, Mao RD, de Figueiredo SMP, Lu R
Hernia 2023 Aug;27(4):795-806. Epub 2023 Jun 4 doi: 10.1007/s10029-023-02808-w. PMID: 37270718
Incarcerated obturator hernia, an extremely rare cause of intestinal obstruction: case series.
Aydın İ, Sengul I, Vural S, Kesicioğlu T, Sengul D
Ulus Travma Acil Cerrahi Derg 2023 May;29(5):633-637. doi: 10.14744/tjtes.2022.42361. PMID: 37145045Free PMC Article
Evaluation of 4-hand reduction for obturator hernia with the guidance of sonography as a new treatment strategy: A retrospective study.
Togawa Y, Kamihata K, Nagahisa Y, Kawamoto K
Medicine (Baltimore) 2022 Oct 28;101(43):e31375. doi: 10.1097/MD.0000000000031375. PMID: 36316827Free PMC Article
The incidence and analysis of ipsilateral occult hernia in patients undergoing hernia repair: a single institution retrospective study of 1066 patients.
He J, Xu YJ, Sun P, Wang J, Yang CG
BMC Surg 2021 Apr 7;21(1):182. doi: 10.1186/s12893-021-01181-8. PMID: 33827518Free PMC Article
Inguinal Hernia: classification, diagnosis and treatment--classic, traumatic and Sportsman's hernia.
Holzheimer RG
Eur J Med Res 2005 Mar 29;10(3):121-34. PMID: 15851379

Prognosis

The incidence and analysis of ipsilateral occult hernia in patients undergoing hernia repair: a single institution retrospective study of 1066 patients.
He J, Xu YJ, Sun P, Wang J, Yang CG
BMC Surg 2021 Apr 7;21(1):182. doi: 10.1186/s12893-021-01181-8. PMID: 33827518Free PMC Article
Midline Extraperitoneal Approach for Obturator Hernia Repair.
Otsuki Y, Konn H, Takeda K, Koike M
Keio J Med 2018 Dec 26;67(4):67-71. Epub 2018 Mar 14 doi: 10.2302/kjm.2017-0014-OA. PMID: 29540635
Therapeutic Strategy for Incarcerated Obturator Hernia Using Preoperative Manual Reduction and Laparoscopic Repair.
Kawanaka H, Hiroshige S, Kubo N, Hirashita T, Masuda T, Kaisyakuji Y, Tajiri H, Egashira A, Matsumoto T, Yano T
J Am Coll Surg 2018 May;226(5):891-901. Epub 2018 Mar 6 doi: 10.1016/j.jamcollsurg.2018.02.009. PMID: 29522816
Strangulated obturator hernia.
Gupta R, Singh H, Kang M, Singh R
BMJ Case Rep 2014 Nov 20;2014 doi: 10.1136/bcr-2014-207071. PMID: 25414225Free PMC Article
Obturator hernia: anatomy, embryology, diagnosis, and treatment.
Petrie A, Tubbs RS, Matusz P, Shaffer K, Loukas M
Clin Anat 2011 Jul;24(5):562-9. Epub 2011 Feb 14 doi: 10.1002/ca.21097. PMID: 21322061

Clinical prediction guides

Management and outcomes of obturator hernias: a systematic review and meta-analysis.
Burla MM, Gomes CP, Calvi I, Oliveira ESC, Hora DAB, Mao RD, de Figueiredo SMP, Lu R
Hernia 2023 Aug;27(4):795-806. Epub 2023 Jun 4 doi: 10.1007/s10029-023-02808-w. PMID: 37270718
Manual reduction for incarcerated obturator hernia.
Gokon Y, Ohki Y, Ogino T, Hatoyama K, Oikawa T, Shimizu K, Katsura K, Abe T, Sato K
Sci Rep 2023 Apr 4;13(1):5504. doi: 10.1038/s41598-023-31634-4. PMID: 37015958Free PMC Article
Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution.
Li Z, Gu C, Wei M, Yuan X, Wang Z
BMC Surg 2021 Mar 9;21(1):124. doi: 10.1186/s12893-021-01125-2. PMID: 33750366Free PMC Article
Obturator hernia: Clinical analysis of 11 patients and review of the literature.
Park J
Medicine (Baltimore) 2020 Aug 21;99(34):e21701. doi: 10.1097/MD.0000000000021701. PMID: 32846788Free PMC Article
Inguinal Hernia: classification, diagnosis and treatment--classic, traumatic and Sportsman's hernia.
Holzheimer RG
Eur J Med Res 2005 Mar 29;10(3):121-34. PMID: 15851379

Recent systematic reviews

Management and outcomes of obturator hernias: a systematic review and meta-analysis.
Burla MM, Gomes CP, Calvi I, Oliveira ESC, Hora DAB, Mao RD, de Figueiredo SMP, Lu R
Hernia 2023 Aug;27(4):795-806. Epub 2023 Jun 4 doi: 10.1007/s10029-023-02808-w. PMID: 37270718
Laparotomy with suture repair is the most common treatment for obturator hernia: a scoping review.
Holm MA, Fonnes S, Andresen K, Rosenberg J
Langenbecks Arch Surg 2021 Sep;406(6):1733-1738. Epub 2021 Aug 19 doi: 10.1007/s00423-021-02293-8. PMID: 34410482
Obturator hernias: a systematic review of the literature.
Schizas D, Apostolou K, Hasemaki N, Kanavidis P, Tsapralis D, Garmpis N, Damaskos C, Alexandrou A, Filippou D, Kontzoglou K
Hernia 2021 Feb;25(1):193-204. Epub 2020 Aug 9 doi: 10.1007/s10029-020-02282-8. PMID: 32772276

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