Article Data

  • Views 2907
  • Dowloads 235

Original Research

Open Access

Prognostic Factors in Obturator Hernia

  • Semra Salimoğlu1
  • Semra Demirli Atıcı1

1University of Health Sciences Tepecik Training and Research Hospital, Department of General Surgery, İzmir, Turkey

DOI: 10.22514/sv.2020.16.0038 Vol.17,Issue 1,January 2021 pp.106-111

Published: 08 January 2021

*Corresponding Author(s): Semra Demirli Atıcı E-mail: smrdemirli@hotmail.com

Abstract

Objective: Obturator hernia is a rare type of hernia that can occur in the octogenarian patients. We discuss the diagnosis, treatment and management of patients with obturator hernia, and describe the clinical presentation, laboratory and radiological findings. Material and methods: A retrospective study was performed in ten patients diagnosed with an obturator hernia between December 2008 - 2019 at a single tertiary hospital. Patients’ demographic features, clinical symptoms, laboratory and imaging data, comorbidities, surgical treatment methods, postoperative morbidity and mortalities were evaluated. Results: The patients’ mean age was 84.4 years (range between 81 - 89 years). All patients presented with symptoms of small bowel obstructions; abdominal pain located in the lower quadrant (100%), vomiting (60%), nausea (80%) and distension (60%). All patients had air-fluid levels on X-ray. We performed small intestine resection and an end to end anastomosis in four patients, resection with ileostomy in two patients and bowel reduction in four patients. Postoperatively, an anastomosis leak occurred in two patients, they were re-operated and an ileostomy was performed. In the post-op period, six patients died, and four patients survived. Conclusion: Obturator hernia is seen in octogenarian patients with symptoms of small bowel obstruction. The diagnosis is based mostly on computed tomography findings. An elevated neutrophil-lymphocyte ratio, platelet-lymphocyte ratio and lactate levels can be used as a biomarker for the prediction of non-viable small bowel in these OH patients.

Keywords

Obturator hernia, Octogenarian, Neutrophil-to-lymphocyte ratio, Platelet-to-lymphocyte ratio

Cite and Share

Semra Salimoğlu,Semra Demirli Atıcı. Prognostic Factors in Obturator Hernia. Signa Vitae. 2021. 17(1);106-111.

References

[1] Thanapaisan C, Thanapaisal C. Sixty-One Cases of Obturator Hernia in Chiangrai Regional Hospital: Retrospective Study. J Med Assoc Thai. 2006;89:2081-2085.

[2] Igari K, Ochiai T, Aihara A, et al. Clinical presentation of obturator hernia and review of the literature. Hernia. 2010;14:409–413.

[3] Petrie A, Tubbs RS, Matusz P, et al. Obturator Hernia: Anatomy, Embryology, Diagnosis, and Treatment. Clinical Anatomy. 2011;24:562–569.

[4] Skandalakis LJ, Skandalakis PN, Gray SW, et al. Obturator hernia. Hernia.1995;4:425-439.

[5] Kulkarni SR, Punamiya AR, Naniwadekar RG, et al. Obturator hernia: A diagnostic challenge. Int JSurg Case Rep. 2013;4:606–608.

[6] Şenol K, Bayam ME, Duman U, et al. Challenging management of obturator hernia: a report of three cases and literature review. Ulus Travma Acil Cerrahi Derg. 2016;22:297–300.

[7] Mantoo SK, Mak K, Tan TJ. Obturator hernia: diagnosis and treatment in the modern era. Singapore Med J. 2009;50:866-870.

[8] Kammori M, Mafune K, Hirashima T, et al. Forty-three cases of obturator hernia. Am J Surg. 2004;187:549-552.

[9] Nasir BS, Zendejas B, Ali SM, et al. Obturator hernia: the Mayo Clinic experience. Hernia. 2012;16:315-319.

[10] Chang SS, Shan YS, Lin YJ, et al. A review of obturator hernia and a proposed algorithm for its diagnosis and treatment. World J Surg. 2005;29:450-454.

[11] Köksal H, Ateş D, Nazik EE, et al. Predictive value of preoperative neutrophil-to-lymphocyte ratio while detecting bowel resection in hernia with iestinal incarceration. Ulus Travma Acil Cerrahi Derg. 2018;24:207-210.

[12] Xie X, Feng S, Tang Z, et al. Neutrophil-to-Lymphocyte Ratio Predicts the Severity of Incarcerated Groin Hernia. Med Sci Monit. 2017;23:5558-5563.

[13] Karadeniz E, Bayramoğlu A, Atamanalp SS. Sensitivity and Specificity of the Platelet-Lymphocyte Ratio and the Neutrophil-Lymphocyte Ratio in Diagnosing Acute Mesenteric Ischemia in Patients Operated on for the Diagnosis of Mesenteric Ischemia: A Retrospective Case-Control Study. J Invest Surg. 2019;19:1-8.

[14] Tanaka K, Hanyu N, Iida T, et al. Lactate levels in the detection of preoperative bowel strangulation. Am Surg. 2012;78:86-88.

[15] Luwaga RK, Galukande M, Owori FN. Serum lactate and phosphate as biomarkers of intestinal ischemia in a Ugandan tertiary hospital: a cross-sectional study. Int J Emerg Med. 2013;6:44.

[16] Leow JJ, How KY, Goh MH, et al. Non-operative management of obturator hernia in an elderly female. Hernia. 2014;18:431-433.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.3 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top