Abstract
Sciatic hernia is a surgical rarity. One such hernia was incidentally diagnosed in a 79-year-old woman who underwent Robot assisted laparoscopic radical cystectomy for locally invasive bladder cancer. Intra-operatively, a patent hernia sac was noted in the sciatic notch. The hernia was successfully repaired during the same operation by using robot assisted laparoscopic technique. This appears to be the first robot assisted sciatic hernia repair in the world literature although it was done incidentally during another procedure. The technical descriptions of the operation are also applicable when isolated sciatic hernia repair is intended. A robot assisted laparoscopic repair is safe, feasible and well suited to the repair of sciatic hernias in women. The surgeon needs to be aware of this uncommon surgical pathology that may occur in women presenting with persistent chronic pelvic discomfort.
References
Touloupidis S, Kalaitzis C, Schneider A, Patris E, Kolias A (2006) Ureterosciatic hernia with compression of the sciatic nerve. Int Urol Nephrol 38:457–458
Attah M, Jibril JA, Yakubu A, Kalayi GD (1992) Nmadu PT () Congenital sciatic hernia. J Pediatr Surg 27:1603–1604
Epner SL, Lautin EM (1994) Case report: intermittent sciatic herniation of the ureter. Clin Radiol 49:832–833
Townsend: In: Sabiston Textbook of Surgery, Hernias. 18th ed. Copyright © 2007 Saunders, an Imprint of Elsevier. Section X, Ch 44
Skipworth RJ, Smith GH, Stewart KJ, Anderson DN (2006) The tip of the iceberg: a giant pelvic atypical lipoma presenting as a sciatic hernia. World J Surg Oncol 21:33
Witney-Smith C, Undre S, Salter V, Al-Akraa M (2007) An unusual case of a ureteric hernia into the sciatic foramen causing urinary sepsis: successfully treated laparoscopically. Ann R Coll Surg Engl 89:W10–W12
Tokunaga M, Shirabe K, Yamashita N, Hiki N, Yamaguchi T (2008) Bowel obstruction due to sciatic hernia. Dig Surg 25:185–186
Servant CT (1998) An unusual cause of sciatica. A case report. Spine 23:2134–2136
Ritschel S, Heimbach D, Schoeneich G (1996) Ureterosciatic hernia. Scand J Urol Nephrol 30:423–424
Carter JE (1998) Surgical treatment for chronic pelvic pain. JSLS 2:129–139
Miklos JR, O’Reilly MJ, Saye WB (1998) Sciatic hernia as a cause of chronic pelvic pain in women. Obstet Gynecol 91:998–1001
Lebowitz RL (1973) Ureteral sciatic hernia. Pediatr Radiol 1:178182
Bernard AC, Lee C, Hoskins J, Lee J, Patel S, Ginn G, Maley B (2009) Sciatic hernia: laparoscopic transabdominal extraperitoneal repair with plug and patch. Hernia. May 6. Epub ahead of print. (PubMed™)
Hayashi N, Suwa T, Kimura F, Okuno A, Ishizuka M, Kakizaki S, Kawakami H (1995) Radiographic diagnosis and surgical repair of a sciatic hernia: report of a case. Surg Today 25:1066–1068
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Singh, I., Hudson, J.E., Richards, K.A. et al. Robot Assisted Laparoscopic Repair of Sciatic Hernia (RASH): A Case Report. Indian J Surg 73, 467–469 (2011). https://doi.org/10.1007/s12262-011-0277-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-011-0277-7