PMC6699463_01
CT scan demonstration of a left obturator hernia.
gr1.jpg
PMC6699463_01_gr1.jpg
fig0005
A CT scan was performed which revealed signs of a small bowel obstruction due to small bowel in a left sided obturator hernia (Fig. 1).
Reduction of small bowel within the left obturator canal.
gr2.jpg
PMC6699463_01_gr2.jpg
fig0010
Under vision, we found an obturator hernial defect containing small bowel within a peritoneal sac (Fig. 2).
Left sided obturator defect.
gr3.jpg
PMC6699463_01_gr3.jpg
fig0015
The hernia was reduced and there was no evidence of bowel was ischemia (Fig. 3).
Demonstrating the self-gripping mesh repair of the left sided obturator hernia.
gr4.jpg
PMC6699463_01_gr4.jpg
fig0020
The hernia was repaired with two pieces of self gripping mesh (Progrip) sized 4 x 6 cm (Fig. 4).
Port placement: Suprapubic camera port placement.
gr5.jpg
PMC6699463_01_gr5.jpg
fig0025
However, sensory level was at T11, so the initial infra-umbilical port was too painful & a modified lower camera port around the suprapubic area (T12) was used successfully (Fig. 5).