Obturator hernia surgery

Surgery is the main stay of treatment for Obturator hernia. As symptoms are nonspecific, pre-operative diagnosis is difficult. CT scan of the abdomen and pelvis or Laparotomy should be performed immediately when the diagnosis is in doubt. As, high mortality is associated with bowel perforation.

• Surgery is the main stay of treatment.^[1]
• There are two different types of surgeries
  • Open laparotomy
  • Laproscopic surgery
• Open Laparotomy
  • Various open laparotomy approaches include
    • Abdominal
    • Retropubic
    • Obturator
    • Inguinal
  • Most common open Laparotomy procedure in the emergency setting is abdominal through low mid line incison.
  • Resection of the part of the bowel that is strangulated or perforated is sometimes required, followed by a side to side anastomosis.
• Laproscopic surgery^[2]
  • Compared to open surgery, laproscopic surgery is associated with fewer complications and lesser duration of hospital stay.