Obturator Hernia in Elderly Female Patients

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dc.authoridKutluturk, Koray/0000-0002-7030-4953
dc.authoridUcar, Ahmet Deniz/0000-0002-2678-3133
dc.authoridcarti, erdem/0000-0002-7139-0339
dc.authoridYILDIRIM, Mehmet/0000-0001-9948-9106
dc.authorwosidKutluturk, Koray/S-5493-2019
dc.authorwosidUcar, Ahmet Deniz/O-4435-2014
dc.authorwosidcarti, erdem/KQU-0245-2024
dc.contributor.authorCarti, Erdem Baris
dc.contributor.authorYilmaz, Eyup Murat
dc.contributor.authorUcar, Ahmet Deniz
dc.contributor.authorYildirim, Mehmet
dc.contributor.authorKutluturk, Koray
dc.date.accessioned2024-08-04T20:47:04Z
dc.date.available2024-08-04T20:47:04Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObturator hernia (OH) constitutes 0.07% to 0.4% of all intraabdominal hernias and 0.2% to 5.8% of small intestinal hernias. OH is usually seen in elderly, multiparous females and patients with a low body weight. This multicenter study includes patients who were treated in Adnan Menderes University Medical Faculty Hospital, Bozyaka Education and Research Hospital and inonii University Medical Faculty Hospital between January 2010 and June 2015. The diagnosis of OH was made preoperatively or perioperatively in patients who underwent emergency laparotomy for the treatment of ileus. A total of 14 patients were included in this study; 3 patients were treated by laparoscopic method (transabdominal approach) under general anesthesia and 2 of these patients (66.6%) died after the surgery. A total of 7 patients were treated by laparotomy. The remaining 4 patients were treated with a minimally invasive approach by using an epidural block without general anesthesia (3 patients with Pfannenstiel and 1 patient with a median inferior incision). The overall mortality rate was 42.8%. Anesthesia and surgery types have an important effect on mortality in elderly OH patients with multiple comorbidities. Minimally invasive approach with the use of epidural anesthesia can reduce the mortality rates in patients with OH. Abdominal computed tomography is the golden standard in the diagnosis of OH.en_US
dc.identifier.doi10.9738/INTSURG-D-17-00023.1
dc.identifier.endpage527en_US
dc.identifier.issn0020-8868
dc.identifier.issue11-12en_US
dc.identifier.scopus2-s2.0-85077920159en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage523en_US
dc.identifier.urihttps://doi.org/10.9738/INTSURG-D-17-00023.1
dc.identifier.urihttps://hdl.handle.net/11616/99146
dc.identifier.volume103en_US
dc.identifier.wosWOS:000503841600003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherInt College Of Surgeonsen_US
dc.relation.ispartofInternational Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectObturatoren_US
dc.subjectileusen_US
dc.subjectherniaen_US
dc.titleObturator Hernia in Elderly Female Patientsen_US
dc.typeArticleen_US

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