SynthesisHernia : the journal of hernias and abdominal wall surgery2021
Obturator hernias: a systematic review of the literature.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- The impact of non-invasive manual and ultrasonographic reduction for incarcerated obturator hernia: a retrospective cohort study and systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Management and outcomes of obturator hernias: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Ultrasound-guided manual reduction for incarcerated obturator hernia: a bridge to elective surgery or a pragmatic non-operative strategy.Surgery today · 2026Article
- Incremental value of hernia-sac CT attenuation beyond symptom duration for predicting bowel resection in incarcerated obturator hernia: a single-site retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Strangulated right obturator hernia causing small bowel obstruction in an elderly woman with bilateral obturator hernias and a positive Howship-Romberg sign: a case report.International journal of surgery case reports · 2026Article
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- Obturator hernia, rare cause of bowel obstruction in an old female: a case series.International journal of surgery case reports · 2026Article
- Recurrent obturator hernia in a patient with autosomal dominant polycystic kidney disease undergoing peritoneal dialysis: a case report.CEN case reports · 2026Article
- Bowel Diameter at the Obturator Canal as a Predictor of Bowel Resection in Incarcerated Obturator Hernias.Yonago acta medica · 2026Article
- Manual reduction in minimally invasive management of obturator hernia: a retrospective study.BMC surgery · 2026Article
- Double-Incision Surgical Management of Incarcerated Obturator Hernia Presenting With Acute Right Lower Abdominal Pain in a 67-Year-Old Woman.The American journal of case reports · 2026Article
- Therapeutic strategy for incarcerated obturator hernia: laparoscopic surgery after ultrasound-guided noninvasive manual reduction.Frontiers in surgery · 2026Article
- Giant Postoperative Seroma after Laparoscopic Obturator Hernia Repair: A Case Report.Surgical case reports · 2026Article
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- Left-sided obturator hernia presenting with bowel obstruction in an elderly female: A rare case report and literature review.International journal of surgery case reports · 2025Article
- Emergency incarcerated "little old lady's hernia": a case report and review of the literature.Annals of medicine and surgery (2012) · 2025Article
- Obturator hernia associated with inclusion body myositis: a case report.Journal of medical case reports · 2025Article
- Obturator hernia presenting with intestinal obstruction: A case study and CT imaging insights.Radiology case reports · 2025Article
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeObturator hernias (OH) are extremely rare hernias, accounting for 0.07-1% of all hernias. This is the first systematic review investigating their presentation, imaging, treatment outcomes, and recurrence rate.
methodsAfter a detailed search in electronic search engines, 74 studies matched our criteria. A review of these reports was conducted and the full texts were examined.
resultsA total of 146 patients with a mean age of 78.8 years were included in our analysis, with 40.1%, 29.9%, and 25.2% of patients suffering from either a right, a left or bilateral OH, respectively. OH were associated with non-specific symptoms and signs; bowel obstruction being the most common. Howship-Romberg sign was present in 56.2% of patients. Computed tomography (CT) scan was the most frequently used diagnostic modality, inversely associated with perioperative mortality. Mesh repair demonstrated a significantly improved perioperative morbidity rate, compared with non-mesh repair. Approximately 30% of patients underwent a laparoscopic operation, which was associated with significantly decreased morbidity and mortality rate as well as length of hospital stay, compared with the open repair.
conclusionOHs are not associated with specific symptoms and signs; thus, they constitute a diagnostic challenge, requiring a high level of clinical suspicion. Undoubtedly, CT scan of the abdomen is the gold standard diagnostic tool. Their operative repair is mandatory, with the laparoscopic approach demonstrating significant advantages over the open repair.
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