The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform
George Ferzli - One of the best experts on this subject based on the ideXlab platform.
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Totally extraperitoneal repair of Obturator Hernia
Surgical Endoscopy, 2004Co-Authors: Kenneth Shapiro, Samir Patel, Charles Choy, G. Chaudry, S. Khalil, George FerzliAbstract:Background One distinct advantage of the 1aparoscopic inguinal Hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and Obturator spaces. The surgeon should routinely inspect all of them. Obturator Hernia accounts for as few as 0.073% of all Hernias, but the mortality rate when it is acutely incarcerated can be as high as 70%. There is only one previous report of a totally extraperitoneal repair for Obturator Hernia. Five such procedures are described. Methods A retrospective review was undertaken to evaluate one surgeon’s experience with the totally extraperitoneal repair of Obturator Hernia over a 4-year period. Four of five cases were completed, and the remaining case was converted to an open procedure. Results Three Hernias were on the right side, and two on the left. One patient presented with an acutely incarcerated Obturator Hernia and underwent a small bowel resection for strangulated bowel within the Obturator space. The other four Hernias were found during totally extraperitoneal repair, and the patients were discharged home several hours later. There was one complication, a midline wound infection in the patient with strangulated bowel. It was treated with dressing changes. There were no other complications, and during a follow-up period of 3 to 48 months, there was no recurrence. Conclusions The laparoscopic totally extraperitoneal approach allows inspection and repair of direct, indirect, femoral, and Obturator Hernias. This study found this procedure to be feasible, safe, and highly effective for the diagnosis and repair of Obturator Hernias.
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Totally extraperitoneal repair of Obturator Hernia.
Surgical endoscopy, 2004Co-Authors: Kenneth Shapiro, Samir Patel, Charles Choy, G. Chaudry, S. Khalil, George FerzliAbstract:Background One distinct advantage of the 1aparoscopic inguinal Hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and Obturator spaces. The surgeon should routinely inspect all of them. Obturator Hernia accounts for as few as 0.073% of all Hernias, but the mortality rate when it is acutely incarcerated can be as high as 70%. There is only one previous report of a totally extraperitoneal repair for Obturator Hernia. Five such procedures are described.
Kenneth Shapiro - One of the best experts on this subject based on the ideXlab platform.
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Totally extraperitoneal repair of Obturator Hernia
Surgical Endoscopy, 2004Co-Authors: Kenneth Shapiro, Samir Patel, Charles Choy, G. Chaudry, S. Khalil, George FerzliAbstract:Background One distinct advantage of the 1aparoscopic inguinal Hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and Obturator spaces. The surgeon should routinely inspect all of them. Obturator Hernia accounts for as few as 0.073% of all Hernias, but the mortality rate when it is acutely incarcerated can be as high as 70%. There is only one previous report of a totally extraperitoneal repair for Obturator Hernia. Five such procedures are described. Methods A retrospective review was undertaken to evaluate one surgeon’s experience with the totally extraperitoneal repair of Obturator Hernia over a 4-year period. Four of five cases were completed, and the remaining case was converted to an open procedure. Results Three Hernias were on the right side, and two on the left. One patient presented with an acutely incarcerated Obturator Hernia and underwent a small bowel resection for strangulated bowel within the Obturator space. The other four Hernias were found during totally extraperitoneal repair, and the patients were discharged home several hours later. There was one complication, a midline wound infection in the patient with strangulated bowel. It was treated with dressing changes. There were no other complications, and during a follow-up period of 3 to 48 months, there was no recurrence. Conclusions The laparoscopic totally extraperitoneal approach allows inspection and repair of direct, indirect, femoral, and Obturator Hernias. This study found this procedure to be feasible, safe, and highly effective for the diagnosis and repair of Obturator Hernias.
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Totally extraperitoneal repair of Obturator Hernia.
Surgical endoscopy, 2004Co-Authors: Kenneth Shapiro, Samir Patel, Charles Choy, G. Chaudry, S. Khalil, George FerzliAbstract:Background One distinct advantage of the 1aparoscopic inguinal Hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and Obturator spaces. The surgeon should routinely inspect all of them. Obturator Hernia accounts for as few as 0.073% of all Hernias, but the mortality rate when it is acutely incarcerated can be as high as 70%. There is only one previous report of a totally extraperitoneal repair for Obturator Hernia. Five such procedures are described.
N Tanaka - One of the best experts on this subject based on the ideXlab platform.
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Obturator Hernia the relationship between anatomical classification and the howship romberg sign
Hernia, 2014Co-Authors: Takahiro Karasaki, T Nakagawa, N TanakaAbstract:Background The Obturator Hernia sac may follow the anterior or posterior branch of the Obturator nerve, and thus, it can be classified anatomically. The relationship between the symptoms and the anatomical classification of Obturator Hernia has not yet been clearly described in the literature.
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Obturator Hernia: the relationship between anatomical classification and the Howship–Romberg sign
Hernia, 2014Co-Authors: Takahiro Karasaki, T Nakagawa, N TanakaAbstract:Background The Obturator Hernia sac may follow the anterior or posterior branch of the Obturator nerve, and thus, it can be classified anatomically. The relationship between the symptoms and the anatomical classification of Obturator Hernia has not yet been clearly described in the literature. Methods Multidetector-row computed tomography (MDCT) examinations of 35 consecutive cases of new-onset Obturator Hernia admitted from March 2005 to April 2012 were reviewed retrospectively. Obturator Hernia was classified anatomically using MDCT. Patient characteristics and clinical presentations were compared among the anatomical classifications. Results Fifteen cases were classified as type I (anterior branch type) and 20 cases as type II (posterior branch type). There were no significant differences regarding time from onset of symptoms to diagnosis, presence of small bowel obstruction, and need for bowel resection. The Howship–Romberg sign was seen in 6 cases (30 %) of type II and 10 cases (67 %) of type I ( p = 0.044). Conclusions The Howship–Romberg sign was present significantly more often with the anterior than the posterior branch type of Obturator Hernia.
Takahide Yokoyama - One of the best experts on this subject based on the ideXlab platform.
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transabdominal preperitoneal repair for Obturator Hernia
World Journal of Surgery, 2011Co-Authors: Takahide Yokoyama, Akira Kobayashi, Toshiki Kikuchi, Ken Hayashi, Shinichi MiyagawaAbstract:Background A laparoscopic surgical approach for Obturator Hernia (OH) repair is uncommon. The aim of the present study was to assess the effectiveness of laparoscopic transabdominal preperitoneal (TAPP) repair for OH.
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preoperative diagnosis of strangulated Obturator Hernia using ultrasonography
American Journal of Surgery, 1997Co-Authors: Takahide Yokoyama, Yasuhiro Munakata, Michihiko Ogiwara, Tetsuya Kamijima, Hiroshi Kitamura, Seiji KawasakiAbstract:background Obturator Hernia is rarely recognized before surgical intervention, since it is relatively infrequent and its definitive diagnosis is difficult. To change this situation, we introduced ultrasound examination in 1993 for differential diagnosis of strangulated Obturator Hernia among patients with bowel obstruction of unknown cause. patients and methods Between 1993 and 1995, we encountered 15 patients with suspected Obturator Hernia based on the presence of bowel obstruction of unknown cause and so-called predisposing factors. These patients underwent ultrasound examinations. results The 4 patients with bowel obstruction caused by strangulated Obturator Hernia were all correctly diagnosed preoperatively by ultrasonography and were successfully cured by surgery. The time required for diagnosis was shorter than reported previously (average 16.5 h). conclusions Ultrasonography is useful and reliable for the diagnosis of strangulated Obturator Hernia and can decrease the morbidity and mortality associated with delayed diagnosis.
Samir Patel - One of the best experts on this subject based on the ideXlab platform.
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Totally extraperitoneal repair of Obturator Hernia
Surgical Endoscopy, 2004Co-Authors: Kenneth Shapiro, Samir Patel, Charles Choy, G. Chaudry, S. Khalil, George FerzliAbstract:Background One distinct advantage of the 1aparoscopic inguinal Hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and Obturator spaces. The surgeon should routinely inspect all of them. Obturator Hernia accounts for as few as 0.073% of all Hernias, but the mortality rate when it is acutely incarcerated can be as high as 70%. There is only one previous report of a totally extraperitoneal repair for Obturator Hernia. Five such procedures are described. Methods A retrospective review was undertaken to evaluate one surgeon’s experience with the totally extraperitoneal repair of Obturator Hernia over a 4-year period. Four of five cases were completed, and the remaining case was converted to an open procedure. Results Three Hernias were on the right side, and two on the left. One patient presented with an acutely incarcerated Obturator Hernia and underwent a small bowel resection for strangulated bowel within the Obturator space. The other four Hernias were found during totally extraperitoneal repair, and the patients were discharged home several hours later. There was one complication, a midline wound infection in the patient with strangulated bowel. It was treated with dressing changes. There were no other complications, and during a follow-up period of 3 to 48 months, there was no recurrence. Conclusions The laparoscopic totally extraperitoneal approach allows inspection and repair of direct, indirect, femoral, and Obturator Hernias. This study found this procedure to be feasible, safe, and highly effective for the diagnosis and repair of Obturator Hernias.
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Totally extraperitoneal repair of Obturator Hernia.
Surgical endoscopy, 2004Co-Authors: Kenneth Shapiro, Samir Patel, Charles Choy, G. Chaudry, S. Khalil, George FerzliAbstract:Background One distinct advantage of the 1aparoscopic inguinal Hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and Obturator spaces. The surgeon should routinely inspect all of them. Obturator Hernia accounts for as few as 0.073% of all Hernias, but the mortality rate when it is acutely incarcerated can be as high as 70%. There is only one previous report of a totally extraperitoneal repair for Obturator Hernia. Five such procedures are described.
