ArticleHernia : the journal of hernias and abdominal wall surgery2023
Epidemiology and surgical management of 184 obturator hernias: a nationwide registry-based cohort study.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 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
- 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
- Recurrent obturator hernia in a patient with autosomal dominant polycystic kidney disease undergoing peritoneal dialysis: a case report.CEN case reports · 2026Article
- Therapeutic strategy for incarcerated obturator hernia: laparoscopic surgery after ultrasound-guided noninvasive manual reduction.Frontiers in surgery · 2026Article
- Article
- Emergency incarcerated "little old lady's hernia": a case report and review of the literature.Annals of medicine and surgery (2012) · 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
- Total and Simultaneous Coverage Repair for the Obturator Hernia and Groin Hernias With One Large Mesh: A Case Report.Cureus · 2024Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe aimed describe the patient characteristics, surgical details, postoperative outcomes, and prevalence and incidence of obturator hernias. Obturator hernias are rare with high mortality and no consensus on the best surgical approach. Given their rarity, substantial data is lacking, especially related to postoperative outcomes.
methodsThe study was based on data from the nationwide Danish Hernia Database. All adults who underwent obturator hernia surgery in Denmark during 1998-2023 were included. The primary outcomes were demographic characteristics, surgical details, postoperative outcomes, and the prevalence and incidence of obturator hernias.
resultsWe included 184 obturator hernias in 167 patients (88% females) with a median age of 77 years. Emergency surgeries constituted 42% of repairs, and 72% were laparoscopic. Mesh was used in 77% of the repairs, with sutures exclusively used in emergency repairs. Concurrent groin hernias were found in 57% of cases. Emergency surgeries had a 30-day mortality of 14%, readmission rate of 21%, and median length of stay of 6 days. Elective surgeries had a 30-day mortality of 0%, readmission rate of 10%, and median length of stay of 0 days. The prevalence of obturator hernias in hernia surgery was 0.084% (95% CI: 0.071%-0.098%), with an incidence of one per 400,000 inhabitants annually.
conclusionsThis was the largest cohort study to date on obturator hernias. They were rare, affected primarily elderly women. The method of repair depends on whether the presentation is acute, and emergency repair is associated with higher mortality.
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