JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY
method. Prospective studies have shown that laparoscopic repair has advantages of postoperative pain reduction, short recovery period, earlier return to work, better cosmetic results, and cost-effectiveness.” 12-14 One such study also demonstrated that in 16.7% of the cases diagnosis and repair of additional unexpected hernias were made that would have been undetected and unrepaired with more traditional approaches. 14 In conclusion, an obturator hernia is a rare type of hernia that is known to be difficult to diagnose and can cause significant morbidity and mortality. Recognizing the appropriate clinical signs and symptoms and early performance and interpretation of CT is key to prompt diagnosis. Delays in diagnosis can lead to necrosis of bowel with rupture and peritonitis, thus making mortality more likely. Prompt diagnosis hastens the time to reach the operating room for surgical management and lessens the amount of ischemia/necrosis and risk of perforation of the bowel.
Taylor Carter, BA is affiliated with the Louisiana State University Health, School of Medicine, in Shreveport, LA. David H. Ballard, MD is affiliated with the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri. Peeyush Bhargava MD, MBA is affiliated with the Louisiana State University Health, Department of Radiology, in Shreveport, LA. Navdeep S. Samra, MD is affiliated with the Louisiana State University Health, Department of Surgery, in Shreveport, LA.
REFERENCES
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