Laparoscopic Repair Using Self-Fixating Mesh in an Adult Patient with a Sciatic Hernia and Irreducible Small Bowel: A Case Report and Literature Review

Sciatic hernia is a rare type of pelvic floor hernia. The herniated tissue can include the ureter, small and large bowel, and ovary, among other tissues. Only a few cases of laparoscopic treatment for a sciatic hernia with small-bowel incarceration have been reported. We report our experience using...

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Veröffentlicht in:Journal of Nippon Medical School 2023/06/25, Vol.90(3), pp.301-305
Hauptverfasser: Chihara, Naoto, Taniai, Nobuhiko, Nakata, Ryosuke, Yokoyama, Yasuyuki, Mishima, Keisuke, Yamagiwa, Ryo, Matsutani, Takeshi, Kurihara, Yuji, Nomura, Tsutomu, Yoshida, Hiroshi
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container_end_page 305
container_issue 3
container_start_page 301
container_title Journal of Nippon Medical School
container_volume 90
creator Chihara, Naoto
Taniai, Nobuhiko
Nakata, Ryosuke
Yokoyama, Yasuyuki
Mishima, Keisuke
Yamagiwa, Ryo
Matsutani, Takeshi
Kurihara, Yuji
Nomura, Tsutomu
Yoshida, Hiroshi
description Sciatic hernia is a rare type of pelvic floor hernia. The herniated tissue can include the ureter, small and large bowel, and ovary, among other tissues. Only a few cases of laparoscopic treatment for a sciatic hernia with small-bowel incarceration have been reported. We report our experience using a laparoscopic approach for treatment of sciatic hernia in an 83-year-old woman and review the literature on sciatic hernias. The patient was referred to our hospital complaining of constipation and abdominal bloating. Computed tomography (CT) scanning showed a right sciatic hernia containing the small bowel. Laparoscopic repair of the sciatic hernia was performed using a self-fixating mesh. The patient was discharged after an uneventful postoperative course and has not developed abdominal bloating or constipation postoperatively. In conclusion, a sciatic hernia was successfully repaired using a laparoscopic trans-preperitoneal approach and ProGrip Self-Fixating Mesh.
doi_str_mv 10.1272/jnms.JNMS.2023_90-403
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subjects laparoscopy
mesh repair
pelvic floor hernia
sciatic hernia
title Laparoscopic Repair Using Self-Fixating Mesh in an Adult Patient with a Sciatic Hernia and Irreducible Small Bowel: A Case Report and Literature Review
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