A Novel Surgical Solution for Sciatic Hernia: Exploring the Totally Extraperitoneal Approach

被引：0
|
作者：
Kawagoe, Reimi [1 ]
Konishi, Yuji [1 ]
Wakui, Yosuke [1 ]
Mino, Kazuhiro [1 ]
Kawamura, Hideki [1 ]
Taketomi, Akinobu [2 ]
机构：
[1] Natl Hosp Org Hokkaido Med Ctr, Dept Surg, Sapporo, Japan
[2] Hokkaido Univ, Dept Gastroenterol Surg, Sapporo, Japan
来源：
ASIAN JOURNAL OF ENDOSCOPIC SURGERY | 2025年 / 18卷 / 01期
关键词：
pelvic floor hernia; sciatic hernia; totally extraperitoneal approach; REPAIR;
D O I：
10.1111/ases.70009
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Sciatic hernia, a rare type of pelvic floor hernia, presents significant diagnostic and therapeutic challenges. We report the first totally extraperitoneal (TEP) repair of a sciatic hernia, which was performed in a 63-year-old woman who presented with vomiting and poor dietary intake. Computed tomography revealed a strangulated femoral hernia and an incidental herniation of the sigmoid colon through the right sciatic foramen. Simultaneous TEP repair of both hernias was successfully performed. The TEP approach offered a wide field of view without disturbing the abdominal organs and facilitated the management of concurrent hernias, making it particularly beneficial when the diagnosis of sciatic hernia is certain.
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页数：4
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