Criticize of international literature reveals eight reported cases of laparoscopic obturator hernia repair. Non-specific signs plus symptoms make the diagnosis of an obturator hernia difficult. Laparoscopic intervention provides a minimally insidious method to simultaneously diagnose moreover repair these hernias. A 35 year old woman presented by way of lower abdominal pain, vaginal flow of blood, and dyspareunia.
During gynecological problem-solving laparoscopy, a pelvic floor hernia was suspected, and a popular surgical evaluation was sought. On a subsequent laparoscopy, the conclusion of a left direct inguinal and a right obturator hernia was made.
Both were repaired laparoscopically with polypropylene mesh. By the side of follow-up at one and six weeks postoperatively, the patient's complaints of pain had completely determined. Sex positions for full penetration.
Obturator Hernia George C. Sotiropoulos Arnold Radtke Ernesto P. The obturator area is delimited superiorly by the superior pubic ramus, inferiorly by the origin of the adductor magnus by the adductor tubercle of the femur, laterally near the hip joint plus femur, and medially by way of the adductor and gracilis muscles, pubic arch, as well as perineum.
The obturator foramen is the largest lanky foramen in the human being body. It is create by the rami of the ischium and pubis and, except in the area of the obturator canal, is covered close to the obturator membrane. Commence an embryologic point of view, since the foramen and membrane represent an area of incomplete prepare formation, the obturator foramen is a lacuna little the obturator canal is the real lumen Fig. The obturator canal is 2 to 3 cm in length and originates at the obturator casing in the pelvis.
Its course is oblique as a consequence downward toward its break in the obturator area of the thigh. The best website for dating.
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