Hernia

, Volume 14, Issue 1, pp 97–100 | Cite as

Sciatic hernia: laparoscopic transabdominal extraperitoneal repair with plug and patch

  • A. C. Bernard
  • C. Lee
  • J. Hoskins
  • J. Lee
  • S. Patel
  • G. Ginn
  • B. Maley
Case Report

Abstract

Sciatic hernia is a rare pelvic floor hernia that occurs through the greater or lesser sciatic foramen. Sciatic hernias often present as pelvic pain, particularly in women, and diagnosis can be difficult. Transabdominal and transgluteal operative approaches, including laparoscopic repair, have been reported. We show a laparoscopic technique using a plug of human allogeneic dermal matrix and lightweight polypropylene extraperitoneal patch avoiding fixation. The patient had significant improvement of her symptoms and no complications at 12 months follow-up.

Keywords

Hernia Sciatic Laparoscopy Mesh Pelvic pain 

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • A. C. Bernard
    • 1
    • 4
  • C. Lee
    • 1
  • J. Hoskins
    • 1
  • J. Lee
    • 2
  • S. Patel
    • 1
  • G. Ginn
    • 3
  • B. Maley
    • 3
  1. 1.Department of Surgery, Center for Minimally Invasive SurgeryUniversity of Kentucky College of MedicineLexingtonUSA
  2. 2.Department of Diagnostic RadiologyUniversity of Kentucky College of MedicineLexingtonUSA
  3. 3.Department of Anatomy and NeurobiologyUniversity of Kentucky College of MedicineLexingtonUSA
  4. 4.C206 Division of General SurgeryUniversity of Kentucky College of MedicineLexingtonUSA

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