Obturator Hernia in Elderly Female Patients

Introduction: Obturator hernia (OH) constitutes 0.07- 0.4% of all intraabdominal hernias and 0.2-5.8% of small intestinal hernias. OH usually is usually seen in elderly, multiparous females and patients with a low body weight. Materials and method: This multicenter study includes patients who were treated in Adnan Menderes University Medical Faculty Hospital, Bozyaka Education and Research Hospital and Inonu University Medical Faculty Hospital between January 2010 and June 2015. The diagnosis of OH was made preoperatively or perioperatively in patients who underwent emergency laparotomy for the treatment of ileus. Results: Total of 14 patients were included in this study. 3 patients were treated by laparoscopic method (transabdominal approach) under general anesthesia and 2 of these patients (66.6%) died after the surgery. Seven patients were treated by laparotomy. The remaining 4 patients were treated with minimally invasive approach by using epidural block without general anesthesia (3 patients with Pfa...