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폐쇄공 탈장 환자에 대한 경험 및 국내 보고 고찰
Experiences on Obturator Hernia and Review of Korean Cases

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Authors
허승철; 강성범; 정중기; 황기태; 유승범; 이택구; 박규주
Issue Date
2010-01
Publisher
KOREAN SURGICAL SOCIETY
Citation
JOURNAL OF THE KOREAN SURGICAL SOCIETY; Vol.78 1; 41-50
Keywords
Obturator herniaMortalityMorbidity폐쇄공 탈장사망률이환율
Abstract
Purpose: We performed this study to share experiences in the management of obturator hernia, which is a very rare disease among elderly women, because rarity of this disease will not approve an expert institute or surgeon and because the aging society, Korea, can increase the incidence. Methods: Patient characteristics, clinical manifestations and treatment results were retrospectively collected from the 12 obturator hernia patients since 2000 in the three hospitals of the authors. Twenty-one obturator hernia cases reported in the Korean literatures were reviewed. In addition, we analyzed clinical features and treatment results of the total 33 patients, collectively. Results: Most of the patients were elderly women except one Young, poorly nourished, male patient with pulmonary tuberculosis. Their mean age was 79.6 years. Sixty-four percent (21/33) of the patients had preoperative morbidity. Symptoms from the compression of the obturator nerve, which is an important Clue to the diagnosis, were observed in 67% (22/33). Interestingly, spontaneous or suspicious-spontaneous reductions were reported in 7 (21%) patients. Abdominal CT scan was the major tool for diagnosis. Abdominal approach alone could successfully manage most cases, though 84% (27/32) needed anastomosis of the bowel. Operative mortality was 2 of the 32 cases but morbidity was 44% of the 32 patients and the mean hospital period after operation was 21 days. Conclusion: Management of patients with obturator hernia connotes high morbidity and mortality. Sharing the experience of management, prompt diagnosis and Surgical management and proper peri-operative care as well as appropriate managing the families is essential for improved results. (J Korean Surg Soc 2010;78:41-50)
ISSN
2233-7903
Language
Korean
URI
http://hdl.handle.net/10371/77945
DOI
https://doi.org/10.4174/jkss.2010.78.1.41
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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