Retrospective comparison of laparoscopic and open surgery for obturator hernia: a single-center experience
Abstract Purpose This retrospective cohort study aims to compare perioperative outcomes between laparoscopic and open surgical repair of obturator hernia, a rare but clinically significant abdominal wall hernia. Methods We analyzed 13 consecutive patients with CT-confirmed obturator hernia causing s...
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| Format: | Article |
| Language: | English |
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BMC
2025-05-01
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| Series: | European Journal of Medical Research |
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| Online Access: | https://doi.org/10.1186/s40001-025-02646-9 |
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| author | Zhaokun Sun Liming Tang Zhifeng Wu Gengyuan Hu Miaojun Xu |
| author_facet | Zhaokun Sun Liming Tang Zhifeng Wu Gengyuan Hu Miaojun Xu |
| author_sort | Zhaokun Sun |
| collection | DOAJ |
| description | Abstract Purpose This retrospective cohort study aims to compare perioperative outcomes between laparoscopic and open surgical repair of obturator hernia, a rare but clinically significant abdominal wall hernia. Methods We analyzed 13 consecutive patients with CT-confirmed obturator hernia causing small bowel obstruction (2017–2023). Six underwent open repair and seven received laparoscopic transabdominal preperitoneal (TAPP) repair with mesh. Outcomes included operative time, blood loss, hospitalization duration, and CRP levels. Results Laparoscopic repair significantly reduced hospitalization duration (median 7 vs. 13 days; P = 0.049) and postoperative inflammation (CRP 10.66 vs. 79.07 mg/L; P = 0.003), with less blood loss (10 vs. 30 mL; P = 0.001). No recurrences occurred during 12-month follow-up. Conclusions Laparoscopic obturator hernia repair demonstrates advantages in reducing hospital stay, minimizing surgical trauma, and attenuating systemic inflammatory response as compared to open approach. However, larger multicenter studies are warranted to validate these findings given the limited sample size. |
| format | Article |
| id | doaj-art-c171fb59c80d4ca786b35138330ea3f7 |
| institution | Kabale University |
| issn | 2047-783X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj-art-c171fb59c80d4ca786b35138330ea3f72025-08-20T03:48:18ZengBMCEuropean Journal of Medical Research2047-783X2025-05-0130111010.1186/s40001-025-02646-9Retrospective comparison of laparoscopic and open surgery for obturator hernia: a single-center experienceZhaokun Sun0Liming Tang1Zhifeng Wu2Gengyuan Hu3Miaojun Xu4School of Medicine, Shaoxing UniversityDepartment of Vascular Hernia Surgery, Shaoxing People’s HospitalSchool of Medicine, Shaoxing UniversityDepartment of Vascular Hernia Surgery, Shaoxing People’s HospitalDepartment of Vascular Hernia Surgery, Shaoxing People’s HospitalAbstract Purpose This retrospective cohort study aims to compare perioperative outcomes between laparoscopic and open surgical repair of obturator hernia, a rare but clinically significant abdominal wall hernia. Methods We analyzed 13 consecutive patients with CT-confirmed obturator hernia causing small bowel obstruction (2017–2023). Six underwent open repair and seven received laparoscopic transabdominal preperitoneal (TAPP) repair with mesh. Outcomes included operative time, blood loss, hospitalization duration, and CRP levels. Results Laparoscopic repair significantly reduced hospitalization duration (median 7 vs. 13 days; P = 0.049) and postoperative inflammation (CRP 10.66 vs. 79.07 mg/L; P = 0.003), with less blood loss (10 vs. 30 mL; P = 0.001). No recurrences occurred during 12-month follow-up. Conclusions Laparoscopic obturator hernia repair demonstrates advantages in reducing hospital stay, minimizing surgical trauma, and attenuating systemic inflammatory response as compared to open approach. However, larger multicenter studies are warranted to validate these findings given the limited sample size.https://doi.org/10.1186/s40001-025-02646-9Obturator herniaLaparoscopic repairOpen repairIntestinal obstructionSurgical outcomes |
| spellingShingle | Zhaokun Sun Liming Tang Zhifeng Wu Gengyuan Hu Miaojun Xu Retrospective comparison of laparoscopic and open surgery for obturator hernia: a single-center experience European Journal of Medical Research Obturator hernia Laparoscopic repair Open repair Intestinal obstruction Surgical outcomes |
| title | Retrospective comparison of laparoscopic and open surgery for obturator hernia: a single-center experience |
| title_full | Retrospective comparison of laparoscopic and open surgery for obturator hernia: a single-center experience |
| title_fullStr | Retrospective comparison of laparoscopic and open surgery for obturator hernia: a single-center experience |
| title_full_unstemmed | Retrospective comparison of laparoscopic and open surgery for obturator hernia: a single-center experience |
| title_short | Retrospective comparison of laparoscopic and open surgery for obturator hernia: a single-center experience |
| title_sort | retrospective comparison of laparoscopic and open surgery for obturator hernia a single center experience |
| topic | Obturator hernia Laparoscopic repair Open repair Intestinal obstruction Surgical outcomes |
| url | https://doi.org/10.1186/s40001-025-02646-9 |
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