Obturator hernia repair

What are the symptoms of an obturator hernia? How is an obturator hernia diagnosed? What is the CPT code of hernia surgery?

Surgical correction of an obturator hernia is essential because the mortality from intestinal obstruction is high. In patients with disabling pain, obturator nerve blocks or surgical excision of the obturator nerve may relieve the pain.

View chapter Purchase book. Mesh may be placed to repair the hole that the intestines pushed through into the obturator canal to prevent further hernias. Lesson Summary A hernia is when body tissue protrudes through the. However, for patients with perforations, open surgery should be performed after securing the surgical field through a midline incision. Obturator hernias are approached abdominally and can be repaired laparoscopically.

If the hernia content is difficult to reduce, incision of the obturator membrane at the inferior margin will. Delayed diagnosis, frequent complications leads to significant mortality.

Transabdominal preperitoneal repair for obturator hernia. Laparoscopic hernia repairs are becoming more prevalent, with a number of reports of obturator hernia being repaired via a minimally-invasive approach,,. Given the location of this hernia deep within the pelvis, a laparoscopic approach allows for clear visualisation of the contents of the hernia and subsequent treatment. There was some edema in the incarc hernia with some omentum. Treatment consists of surgical repair of obturator hernia.

The SB was pretty normal. Mantoo S K, Mak K, Tan T J. Lo CY, Lorentz TG, Lau PW. Hsu CH, Wang CC, Jeng LB, Chen MF. Elbert Khiangte operates on a female patient of years presented with recurrent pain in the left iliac fossa for years. CT scan confirmed obturator hernia.

It is a rare type of hernia. Surgery is the only treatment option for obturator hernia. Hesitancy to intervene surgically for chronically ill patients in high mortality.

My physician did laparoscopic femoral and obturator hernia repairs.

Inguinal hernia repair is one of the most common surgical procedures performed in the U. Most abdominal wall hernias are repaired electively when the health of the patient can be maximized to decrease the risk of both the surgery and the anesthetic. Techniques for obturator hernia repair. Open surgery is the traditional way of repairing hernias through a 3-inch incision in each groin or lower abdomen. Usually it causes more pain and a slower recovery.

Inarecentreviewofcaseseries,of the elective cases could be treated successfully with a laparoscopic approach. Careful positioning and skilled suture techniques are imperative to repair obturator her-nia laparoscopically. Discussion Surgical treatment is the standard of care for an obturator Hernia. Increasing number of laparoscopic repairs are being performed in the recent past.

Shapiro et al describe the use of polypropylene mesh placed extraperitoneally to remedy the hernia. Insua et al used a polyester plug that was inserted into the obturator canal to prevent incarceration in the future. Although the plug technique may prevent future incarceration, it would seem that such a repair would not alleviate nerve compression through the obturator canal. An obturator hernia is a rare type of hernia of the pelvic floor in which pelvic or abdominal contents protrudes through the obturator foramen.

Because of differences in anatomy, it is much more common in women, especially multiparous and older women who have recently lost much weight. What CPT and ICD-codes would I use for repair of an incarcerated obturator hernia ? If the bowels have been damage they may need to be repaired during the surgery.