Indications for treatment of incidental obturator hernia encountered during transabdominal preperitoneal repair (TAPP)
- 01.12.2025
- Original Article
Erschienen in:
- Verfasst von
- Akihiro Nakamura
- Yoshikuni Harada
- Hideyuki Oyama
- Kaori Tadamura
- Hiroshi Moro
- Gaku Kigawa
- Takahiro Umemoto
- Kenichi Matsuo
- Kuniya Tanaka
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
To clarify indications for treating incidental obturator hernia (IOH) detected during laparoscopic groin hernia repair by comparing features of IOH with obturator hernia (OH) complicated by incarceration.
Methods
Twenty patients who underwent laparoscopic OH repair between January 2017 and July 2024 were included in this retrospective study. They were divided into groups with incarceration or a past history of incarceration (the OH group) or without incarceration (the IOH group). Univariate analysis was performed, and ROC curves were constructed with the cut-off values representing indications for treating IOH.
Results
Thirteen patients comprised the IOH group (bilateral in one), while seven comprised the OH group (all unilateral). Univariate analysis selected high age, low body mass index (BMI), and a large orifice as risk factors for incarceration. Cut-off values of these variables were age 89 years (area under curve, 0.816), BMI 17.7 kg/m2 (0.939), and orifice diameter 12 mm (0.796). Age of at least 89 years and BMI of 18 or less were more common in the incarceration group (P = 0.004, P = 0.007), and all patients in the incarceration group had orifices at least 12 mm in diameter. Assigning the 3 variables 1 point each, the OH group had significantly higher scores of at least 2 points (P < 0.001).
Conclusion
High age, low BMI, and large orifice diameter may be considered useful indicators for treating IOH. Two or more of these factors could place a patient at high risk for incarceration and show need for treatment of IOH.
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- Titel
- Indications for treatment of incidental obturator hernia encountered during transabdominal preperitoneal repair (TAPP)
- Verfasst von
-
Akihiro Nakamura
Yoshikuni Harada
Hideyuki Oyama
Kaori Tadamura
Hiroshi Moro
Gaku Kigawa
Takahiro Umemoto
Kenichi Matsuo
Kuniya Tanaka
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03224-4
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