ArticleHernia : the journal of hernias and abdominal wall surgery2024
Increased length of incarcerated small bowel as a risk factor for intestinal necrosis in obturator hernia.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Obturator hernia in adults: a systematic review of CT diagnosis and surgical management.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled 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
- When rarity meets emergency: obturator hernia with incarcerated small bowel loop.Journal of surgical case reports · 2026Article
- Evaluation of usefulness of manual reduction in the management of adult acute irreducible abdominal wall hernia: a study from a community-based teaching hospital.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Therapeutic strategy for incarcerated obturator hernia: laparoscopic surgery after ultrasound-guided noninvasive manual reduction.Frontiers in surgery · 2026Article
- Case Report: Intestinal necrosis secondary to internal abdominal hernia in a young female.Frontiers in surgery · 2026Article
- Non-enhancing bowel dilatation and secondary ileus on CT as a surgical red flag in geriatric patients with atypical presentations.BMC geriatrics · 2025Article
- Advantages of ultrasound-guided reduction and elective surgery versus emergency repair for incarcerated obturator hernia.Surgery today · 2025Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncarcerated obturator hernia (OH) is a rare type of pelvic wall hernia. With the increasing adoption of reduction techniques for incarcerated OH, it is crucial to assess the extent of damage to the incarcerated intestine. This study aimed to identify objective risk factors for intestinal necrosis based on computed tomography (CT) findings.
methodsFrom October 2004 to June 2013, data from consecutive patients diagnosed with incarcerated OH at Kameda Medical Center were collected. All patients underwent laparotomy and were classified into either the viable group (no incarceration-related intestinal damage) or the necrosis group (incarceration-related intestinal damage present). Patient characteristics and CT findings were retrieved retrospectively, including incarcerated intestine length, obturator canal width, and precise location of incarceration. Multivariate logistic regression with backward elimination was performed to identify risk factors for intestinal necrosis.
resultsA total of 37 patients were included, with 25 in the viable group and 12 in the necrosis group. Multivariate analysis revealed that increased incarcerated intestine length on CT was significantly associated with necrosis (p = 0.004; odds ratio, 1.19 per 1-mm increase; 95% confidence interval, 1.06-1.34), outweighing other factors such as white blood cell count, C-reactive protein levels, and time from onset to hospital arrival.
conclusionLength of the incarcerated small bowel on CT may be a potential risk factor for intestinal necrosis in patients with OH.
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