Evidence map›Paper›PMID 41728396›Full record

ArticleCureus2026

Obturator Hernia: A Critical Appraisal of Treatment Strategies Based on 10 Cases and Current Literature: Towards a Pragmatic Surgical Algorithm.

Yujo Kawashita, Eri Daicho, Noriko Ikeda, Masaki Tateishi, Takashi Ueda

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yujo KawashitaSurgery, Fukuoka Seisyukai Hospital, Fukuoka, JPN.
Eri DaichoSurgery, Fukuoka Seisyukai Hospital, Fukuoka, JPN.
Noriko IkedaSurgery, Fukuoka Seisyukai Hospital, Fukuoka, JPN.
Masaki TateishiSurgery, Fukuoka Seisyukai Hospital, Fukuoka, JPN.
Takashi UedaSurgery, Fukuoka Seisyukai Hospital, Fukuoka, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obturator hernia is a rare pelvic hernia that predominantly affects elderly, thin women. Despite advances in imaging and surgical techniques, the optimal surgical approach remains controversial. We retrospectively analyzed 10 patients who underwent emergency surgery for an obturator hernia at our institution between January 2010 and August 2024. All patients were female with a median age of 88.9 years (range: 84-97). Six patients (60%) required bowel resection. Seven underwent open repairs, and three underwent laparoscopic transabdominal preperitoneal (TAPP) repair. One patient with perforated peritonitis died postoperatively. During a median follow-up of 32 months (range: 18-51), one recurrence occurred at 34 months in a patient who had undergone suture repair without mesh reinforcement. Based on our experience and a comprehensive literature review encompassing three systematic reviews/meta-analyses and one nationwide registry study, we propose a treatment algorithm centered on three principles: TAPP as the default approach, bowel viability as the central decision point, and a contamination-based repair strategy. Two illustrative cases demonstrate the clinical application of this algorithm.

Indexed as

mesh repairobstructed obturator herniaopen and laparoscopic surgerysmall bowel resectionstaged repairtransabdominal preperitoneal (tapp)treatment algorithm

Identifiers

PMID41728396
PMCPMC12917865

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Registered trials

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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.