Obturator Hernia
Definition:
- An obturator hernia is a rare type of hernia that occurs through the obturator canal, which is a small opening in the pelvis.
- It is also known as an obturator foramen hernia or a Petit's hernia.
Types:
- Direct obturator hernia: occurs when the intestine passes through the obturator canal without passing through a pre-existing defect in the abdominal wall.
- Indirect obturator hernia: occurs when the intestine passes through the obturator canal through a pre-existing defect in the abdominal wall.
Causes:
- Age-related weakening of the abdominal wall muscles
- Pregnancy
- Obesity
- Chronic coughing or straining
- Trauma or injury to the abdominal wall
Clinical Features:
- Severe abdominal pain
- Nausea and vomiting
- Abdominal tenderness
- Constipation or difficulty passing stools
- Abdominal swelling
Investigations:
- CT scan
- MRI
- Ultrasound
- Laparoscopy
Complications:
- Intestinal obstruction
- Strangulation of the intestine
- Perforation of the intestine
Management:
- Immediate surgical intervention is necessary to prevent complications.
- Surgery may involve open or laparoscopic techniques.
- Repair of the hernia and any damaged intestine may be necessary.
Treatment:
- Surgical repair of the hernia
- Repair of any damaged intestine
- Post-operative care to prevent complications
Homoeopathic Therapeutic Medicines:
- Arnica montana for pain and swelling
- Belladonna for abdominal cramps and constipation
- Bryonia alba for nausea and vomiting
- Graphites for abdominal tenderness and swelling
- Nux vomica for constipation and abdominal pain