Abstract
There are several large openings in the bony pelvic girdle, including its floor that can allow for intestine or viscera to pass through and develop a hernia. However, the near vertical walls of the pelvis mitigate against the development of hernia—mitigate—but not completely deny hernia formation. Although rare, hernias of the deep pelvic structures can occur and cause debilitating symptoms. Unfortunately, physicians often ignore these symptoms because hernias in the pelvic areas are difficult to see and to palpate. For the most part, pelvic wall hernia is not even considered in females with vague abdominal or pelvic symptoms. Nonetheless, general surgeons need a thorough knowledge of pelvic anatomy, particularly, potential hernia sites in women, to avoid inadequate diagnostic workup and examination. Patients, usually older female patients, suffer the consequences of our inattention.
References
Howard FM. The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Surg. 1993;48(6):357–87.
Kloch SC. Psychosomatic issues in obstetrics and gynecology. In: Ryan KJ, Berkowitz R, Barberi RL, editors. Kistner’s gynecology. Principles and practice. 6th ed. Mosby Yearbook Inc: St. Louis; 1995. p. 391–411.
Carter JE. Surgical treatment for chronic pelvic pain. JSLS. 1998;2(2):129–39.
Rapkin AJ, Mayer EA. Gastroenterologic causes of chronic pelvic pain. Obstet Gynecol Clin N Am. 1993;20(4):663–83.
Black S. Sciatic hernia. In: Nyhus LM, Condon RE, editors. Hernia. 2nd ed. Philadelphia: JB Lippincott; 1978. p. 443–52.
Watson LF. Hernia: anatomy, etiology, symptoms, diagnosis, differential diagnosis, prognosis and treatment. 3rd ed. CV Mosby: St Louis; 1948.
Miklos JR, O’Reilly MJ, Saye WB. Sciatic hernia: a cause of chronic pelvic pain in women. Obstet Gynecol. 1998;91(6):998–1001.
Cali RL, Pitsch RM, Blatchford GJ, et al. Rare pelvic floor hernias: report of a case and review of the literature. Dis Colon Rectum. 1991;25:604–12.
Porrett PM. The surgical review: an integrated basic and clinical science study guide. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2010. p. 85–123.
Gaffney LB, Schand J. Sciatic hernia: a case of congenital occurrence. Am J Surg. 1958;95:974.
Losanoff J, Kjossen K. Sciatic hernia. Acta Chir Belg. 1995;95(6):269–70.
Kavic MS. Laparoscopic hernia repair. Amsterdam: Harwood Academic Publishers; 1997. p. 33–40.
Haraguchi M, Matsuo S, Kanetaka K, Tokai H, Azyma T, Yamaguchi S, Kanematsu T. Obturator hernia in an aging society. Ann Acad Med. 2007;36(6):413–5.
Nakayama T, Kobayashi S, Shiraishi K, Nishiumi T, Mori S, Isobe K, Furuta Y. Diagnosis and treatment of obturator hernia. Keio J Med. 2002;51(3):129–32.
Gray SW, Skandalakis JE. Strangulated obturator hernia. In: Nyhus LM, Condon RE, editors. Hernia. 2nd ed. Philadelphia: JB Lippincott; 1978. p. 427–42.
Bjork KJ, Mucha P, Cahill DR. Obturator hernia. Surg Gynecol Obstet. 1988;167(3):217–22.
Ritz TA, Deshmukh N. Obturator hernia. South Med J. 1990;83:709–12.
Fiser SM. The absite review. 4th ed. Philadelphia: Wolters Kluwer Health; 2014. p. 246–7.
Chan KV, Chan CK, Yau KW, Cheung MT. Surgical moritiy and mortality in obturator hernia: a 10-year retrospective risk factor evaluation. Hernia. 2014;18(3):387–92.
Howship J. Practical remarks on the discrimination and appearances of surgical disease. London: John Churchill; 1840.
Romberg MH. Die operation des singeklemmten bruches des eirunden loches. Operatio hernia foraminis ovales incarceratae. In: Dieffenbach JF, editor. Die operative chirurgie, vol. 2. Leipzig: F.A. Brockhaus; 1848.
Chung CC, Mok CO, Kwong KH, Ng EK, Lau WY, Li AK. Obturator hernia revisited: a review of 12 cases in 7 years. J R Coll Surg Edinb. 1997;42:82–4.
Karasaki T, Nakagawa T, Tanaka N. Obturator hernia: the relationship between anatomical classification and the Howship-Romberg sign. Hernia. 2014;18(3):413–6.
Singer R, Leary PM, Hofmeyer NG. Obturator hernia. S Afr Med J. 1955;29:74.
Xiaoyan C, Xiangyang S, Xiujun C. Stangulated intestinal obstruction secondary to a typical obturator hernia: a case report with literature review. Int J Med Sci. 2012;9(3):213–6.
Hayama S, Ohtaka K, Takahashi Y, Ichimura T, Senmaru N, Hirano S. Laparoscopic reduction and repair for incarcerated obturator hernia: comparison with open surgery. Hernia. 2015;19(5):809–14. https://doi.org/10.1007/s10029-014-1328-3.
Liu J, Zhu Y, Shen Y, Liu S, Wang M, Zhao X, Nie Y, Chen J. The feasibility of laparoscopic management of incarcerated obturator hernia. Surg Endosc. 2017;31(2):656–60.
Ng DC, Tung KL, Tang CN, Li MK. Fifteen-year experience in managing obturator hernia: from open to laparoscopic approach. Hernia. 2014;18(3):381–6. https://doi.org/10.1007/s10029-013-1080-0.
Stamatiou D, Skandalakis JE, Skandalakis LJ, Mirilas P. Perineal hernia: surgical anatomy, embryology, and technique of repair. Am Surg. 2010;76(5):474–9.
Penkov N, Damianov D, Asenov Y, Gerzilov P, Sedloev T. Recurrent perineal hernia–case report and review of the literature. Chirurgia. 2015;110(1):81–3.
Koontz AR. Perineal hernia. In: Nyhus LM, Condon RE, editors. Hernia. 2nd ed. Philadelphia: J.B. Lippincott; 1978. p. 453–62.
Gray SW, Skandalakis JE, McClusky DA. Atlas of surgical anatomy. Baltimore: Williams & Wilkens; 1985. p. 326–7.
Herrington JK. Occult inguinal hernia in the female. Ann Surg. 1995;181:481–3.
Fodor PB, Webb WA. Indirect inguinal hernia in the female with no palpable sac. South Med J. 1974;64:15–6.
Bascom JU. Pelvic pain. Perspect Colon Rectal Surg. 1999;11(2):21–40.
Fruchaud H. The Surgical Anatomy of Hernias of the Groin. (Translated and edited by Robert Bendavid, 2006). France: Gaston Doin & Cie; 1956. Printed in Canada by University of Toronto Press, First printing; 2006.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Kavic, M.S., Kavic, S.M., Hanissee, M.K., Kavic, S.M. (2018). Hernias of the Pelvic Wall. In: LeBlanc, K., Kingsnorth, A., Sanders, D. (eds) Management of Abdominal Hernias. Springer, Cham. https://doi.org/10.1007/978-3-319-63251-3_37
Download citation
DOI: https://doi.org/10.1007/978-3-319-63251-3_37
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-63250-6
Online ISBN: 978-3-319-63251-3
eBook Packages: MedicineMedicine (R0)