Laparotomy with suture repair is the most common treatment for obturator hernia: a scoping review.
Hernia
Laparoscopic
Obturator
Review
Surgery
Journal
Langenbeck's archives of surgery
ISSN: 1435-2451
Titre abrégé: Langenbecks Arch Surg
Pays: Germany
ID NLM: 9808285
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
26
04
2021
accepted:
03
08
2021
pubmed:
20
8
2021
medline:
2
10
2021
entrez:
19
8
2021
Statut:
ppublish
Résumé
Obturator hernias are rare and associated with high mortality. However, the optimal surgical approach remains unknown. We aimed to investigate the available evidence and examine the surgical details regarding obturator hernia defect closure as well as the recurrence rates of the different approaches. We reported this scoping review according to the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analysis Extension for Scoping Reviews) and registered the protocol online. A comprehensive literature search in five different databases was conducted. The population was patients undergoing surgery for obturator hernia. Articles were included for data charting if the management of the hernia defect was reported. Data regarding surgical details, and hernia recurrence were extracted. A total of 1299 patients from 313 articles were included. In total, 937 patients underwent open obturator hernia repair, in which 992 hernias were repaired (including some bilateral obturator hernias). A total of 295 patients underwent laparoscopic repair for 341 obturator hernias, and for the remaining 67 patients, type of surgery was not reported. For open surgery, suture repair was the most common method of repair (n = 508, 51%) with a recurrence rate of 10%. For laparoscopic surgery, the most common repair of the defect was mesh repair (n = 299, 88%) with no reported recurrences. Open surgery with primary suture repair is the most common method of repair for obturator hernia but is associated with a recurrence rate of 10%. Laparoscopic mesh repair is becoming more common and have seemingly very low recurrence rates and may be a better method of repair.
Sections du résumé
BACKGROUND
BACKGROUND
Obturator hernias are rare and associated with high mortality. However, the optimal surgical approach remains unknown. We aimed to investigate the available evidence and examine the surgical details regarding obturator hernia defect closure as well as the recurrence rates of the different approaches.
METHODS
METHODS
We reported this scoping review according to the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analysis Extension for Scoping Reviews) and registered the protocol online. A comprehensive literature search in five different databases was conducted. The population was patients undergoing surgery for obturator hernia. Articles were included for data charting if the management of the hernia defect was reported. Data regarding surgical details, and hernia recurrence were extracted.
RESULTS
RESULTS
A total of 1299 patients from 313 articles were included. In total, 937 patients underwent open obturator hernia repair, in which 992 hernias were repaired (including some bilateral obturator hernias). A total of 295 patients underwent laparoscopic repair for 341 obturator hernias, and for the remaining 67 patients, type of surgery was not reported. For open surgery, suture repair was the most common method of repair (n = 508, 51%) with a recurrence rate of 10%. For laparoscopic surgery, the most common repair of the defect was mesh repair (n = 299, 88%) with no reported recurrences.
CONCLUSION
CONCLUSIONS
Open surgery with primary suture repair is the most common method of repair for obturator hernia but is associated with a recurrence rate of 10%. Laparoscopic mesh repair is becoming more common and have seemingly very low recurrence rates and may be a better method of repair.
Identifiants
pubmed: 34410482
doi: 10.1007/s00423-021-02293-8
pii: 10.1007/s00423-021-02293-8
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1733-1738Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Bjork KJ, Mucha P Jr (1988) Obturator hernia. Surg Gynecol Obstet 167:217–222
pubmed: 3413651
Zhang J, Zhang C-L, Kuang L-Q et al (2020) Prediction of bowel obstruction caused by obturator hernia using risk factor categories on clinical characteristics and multidetector computed tomographic findings. Abdom Radiol in press. https://doi.org/10.1007/s00261-020-02838-3
doi: 10.1007/s00261-020-02838-3
Rath A, Bhatia P, Kalhan S et al (2014) Endoscopic TEP inguinal hernia repair in the management of occult obturator and femoral hernias. Surg Laparosc Endosc Percutan Tech 24:375–377. https://doi.org/10.1097/SLE.0b013e3182901509
doi: 10.1097/SLE.0b013e3182901509
pubmed: 24710244
HerniaSurgeGroup (2018) International guidelines for groin hernia management. Hernia 22:1–165. https://doi.org/10.1007/s10029-017-1668-x
doi: 10.1007/s10029-017-1668-x
Schizas D, Apostolou K, Hasemaki N et al (2021) Obturator hernias: a systematic review of the literature. Hernia 25:193–204. https://doi.org/10.1007/s10029-020-02282-8
doi: 10.1007/s10029-020-02282-8
pubmed: 32772276
Tricco AC, Lillie E, Zarin W et al (2018) PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med 169:467–473. https://doi.org/10.7326/M18-0850
doi: 10.7326/M18-0850
pubmed: 30178033
Holm MA, Fonnes S, Andresen K, Rosenberg J. Defect closure of obturator hernia: a scoping review [Protocol]. https://www.osf.io/gxufb/ . Accessed 26 Apr 2021
Greenhalgh T, Peacock R (2005) Effectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources. BMJ 331:1064–1065. https://doi.org/10.1136/bmj.38636.593461.68
doi: 10.1136/bmj.38636.593461.68
pubmed: 16230312
pmcid: 1283190
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A (2016) Rayyan-a web and mobile app for systematic reviews. Syst Rev 5:210. https://doi.org/10.1186/s13643-016-0384-4
doi: 10.1186/s13643-016-0384-4
pubmed: 27919275
pmcid: 5139140
Lo CY, Lorentz TG, Lau PW et al (1994) Obturator hernia presenting as small bowel obstruction. Am J Surg 167:396–398. https://doi.org/10.1016/0002-9610%2894%2990123-6
doi: 10.1016/0002-9610%2894%2990123-6
pubmed: 8179083
Burger JWA, van ’t Riet M, Jeekel J, (2002) Abdominal incisions: techniques and postoperative complications. Scand J Surg 91:315–321. https://doi.org/10.1177/145749690209100401
doi: 10.1177/145749690209100401
pubmed: 12558078
Szeliga J, Jackowski M (2017) Laparoscopy in small bowel obstruction - current status - review. Wideochir Inne Tech Maloinwazyjne 12:455–460. https://doi.org/10.5114/wiitm.2017.72330
doi: 10.5114/wiitm.2017.72330
pubmed: 29362663
pmcid: 5776496
Christophersen C, Fonnes S, Andresen K, Rosenberg J (2021) Lower recurrence rate after groin and primary ventral hernia repair performed by high-volume surgeons: a systematic review. Hernia; in press. https://doi.org/10.1007/s10029-020-02359-4
doi: 10.1007/s10029-020-02359-4
Birindelli A, Sartelli M, Di Saverio S et al (2017) 2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias. World J Emerg Surg 12:37. https://doi.org/10.1186/s13017-017-0149-y
doi: 10.1186/s13017-017-0149-y
pubmed: 28804507
pmcid: 5545868
Warren J, Desai SS, Boswell ND et al (2020) Safety and efficacy of synthetic mesh for ventral hernia repair in a contaminated field. J Am Coll Surg 230:405–413. https://doi.org/10.1016/j.jamcollsurg.2019.12.008
doi: 10.1016/j.jamcollsurg.2019.12.008
pubmed: 31954819
Morris MP, Mellia JA, Christopher AN et al (2021) Ventral hernia repair with synthetic mesh in a contaminated field: a systematic review and meta-analysis. Hernia; in press. https://doi.org/10.1007/s10029-020-02358-5
doi: 10.1007/s10029-020-02358-5
Ng DCK, Tung KLM, Tang CN, Li MKW (2014) Fifteen-year experience in managing obturator hernia: from open to laparoscopic approach. Hernia 18:381–386. https://doi.org/10.1007/s10029-013-1080-0
doi: 10.1007/s10029-013-1080-0
pubmed: 23546862
Yokoyama T, Kobayashi A, Kikuchi T et al (2011) Transabdominal preperitoneal repair for obturator hernia. World J Surg 35:2323–2327. https://doi.org/10.1007/s00268-011-1211-7
doi: 10.1007/s00268-011-1211-7
pubmed: 21858557
Seppälä TT, Tuuliranta M (2015) Coexisting ipsilateral right femoral hernia and incarcerated obturator hernia. BMJ Case Rep 2015:bcr2014208361. https://doi.org/10.1136/bcr-2014-208361