To evaluate the results of a less-invasive strategy for incarcerated obturator hernia (IOH) treated by laparoscopic repair after ultrasound sonography reduction, conducted from April 2019 to March 2025.
Key Findings:
Manual reduction was successful in 13 out of 15 cases (86.7%).
Laparoscopic surgery was attempted in 13 cases, successfully completed in 12 (85.7%).
Two cases experienced intestinal perforation, both occurring after more than 96 hours from symptom onset, with one requiring emergency laparotomy.
Interpretation:
Laparoscopic repair after ultrasound-guided manual reduction is effective and minimally invasive, but early diagnosis and intervention are crucial due to the risk of necrosis and perforation, especially in elderly patients with comorbidities.
Limitations:
Small sample size limited formal statistical comparisons.
Study conducted at a single facility may affect generalizability.
Conclusion:
The study supports a minimally invasive approach for IOH, emphasizing the importance of early diagnosis and careful patient evaluation.
