ArticleLangenbeck's archives of surgery2021
Laparotomy with suture repair is the most common treatment for obturator hernia: a scoping review.
Article in Langenbeck's archives of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Obturator hernia in adults: a systematic review of CT diagnosis and surgical management.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Management and outcomes of obturator hernias: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- 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
- 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
- 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
- Article
- Case Report: Marfan syndrome complicated with obturator hernia.Frontiers in surgery · 2026Article
- Therapeutic strategy for incarcerated obturator hernia: laparoscopic surgery after ultrasound-guided noninvasive manual reduction.Frontiers in surgery · 2026Article
- Clinical analysis of 18 cases of obturator hernia.Journal of minimal access surgery · 2025Article
- Incarcerated obturator hernia complicated by lower limb venous thrombosis: a case report.Journal of medical case reports · 2025Article
- Indications for treatment of incidental obturator hernia encountered during transabdominal preperitoneal repair (TAPP).Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Recurrent Obturator Hernia: A Rare Entity.Cureus · 2024Article
- The "Little-Old-Lady's Hernia", Obturator Hernia: A Case Report and Literature Review.Case reports in surgery · 2024Article
- Epidemiology and surgical management of 184 obturator hernias: a nationwide registry-based cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Article
- Obturator hernia (the little old lady's hernia) diagnosed via computed tomography: a case report.Annals of medicine and surgery (2012) · 2023Article
- Concurrent strangulated obturator hernia and femoral hernia repair via TAPP approach: A case report.SAGE open medical case reports · 2023Article
- Obturator hernia: A case report of intestinal obstruction with challenging diagnosis and non-standardized treatment.International journal of surgery case reports · 2022Article
- Contemporary management of obturator hernia.Trauma surgery & acute care open · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObturator hernias are rare and associated with high mortality. However, the optimal surgical approach remains unknown. We aimed to investigate the available evidence and examine the surgical details regarding obturator hernia defect closure as well as the recurrence rates of the different approaches.
methodsWe reported this scoping review according to the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analysis Extension for Scoping Reviews) and registered the protocol online. A comprehensive literature search in five different databases was conducted. The population was patients undergoing surgery for obturator hernia. Articles were included for data charting if the management of the hernia defect was reported. Data regarding surgical details, and hernia recurrence were extracted.
resultsA total of 1299 patients from 313 articles were included. In total, 937 patients underwent open obturator hernia repair, in which 992 hernias were repaired (including some bilateral obturator hernias). A total of 295 patients underwent laparoscopic repair for 341 obturator hernias, and for the remaining 67 patients, type of surgery was not reported. For open surgery, suture repair was the most common method of repair (n = 508, 51%) with a recurrence rate of 10%. For laparoscopic surgery, the most common repair of the defect was mesh repair (n = 299, 88%) with no reported recurrences.
conclusionOpen surgery with primary suture repair is the most common method of repair for obturator hernia but is associated with a recurrence rate of 10%. Laparoscopic mesh repair is becoming more common and have seemingly very low recurrence rates and may be a better method of repair.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.