{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T11:11:26Z","timestamp":1780917086874,"version":"3.54.1"},"reference-count":35,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T00:00:00Z","timestamp":1623628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Obturator hernia is a rare pelvic hernia associated with a high morbidity and mortality. It most commonly occurs in elderly, multiparous females with symptoms and signs of small bowel obstruction. We present an Australian hospital network experience on emergency presentations of obturator hernias highlighting differences between clinical profile and surgical management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of adult patients diagnosed with acute obturator hernia during a 10\u2009year period (2010\u20132020) was conducted across 10 major Sydney hospitals in New South Wales, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Obturator hernia was diagnosed in 18 patients (mean 82.7\u2009years, range: 60\u201396\u2009years old), all confirmed on pre\u2010operative computed tomography imaging. The most common presentations were elderly women demonstrating clinical features of a small bowel obstruction. The mean onset of symptoms from home to hospital admission was 49.4\u00a0h. Non\u2010survivors had a significantly elevated urea level (15.6 vs. 7.8\u2009mmol\/L, <jats:italic>p<\/jats:italic>\u00a0=\u20090.036) at presentation and a longer delay from onset of presenting symptoms to diagnosis (84.0 vs. 36.2\u2009h, <jats:italic>p<\/jats:italic>\u00a0=\u20090.028). Eleven patients underwent urgent laparotomy and six laparoscopic repairs. The mean operative time was 101.0\u00a0min. The average hospital length of stay was 16.2\u2009days with a mortality rate of 27.8%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Timely diagnosis and operative intervention for obturator hernia is the cornerstone of management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17011","type":"journal-article","created":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T12:34:18Z","timestamp":1623674058000},"page":"1596-1603","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["A decade review of emergency obturator hernia repairs"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7043-4224","authenticated-orcid":false,"given":"Jason","family":"Diab","sequence":"first","affiliation":[{"name":"Bankstown Lidcombe Hospital  Bankstown New South Wales Australia"},{"name":"University of Notre Dame School of Medicine  Sydney New South Wales Australia"},{"name":"University of New South Wales School of Medicine  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9255-6572","authenticated-orcid":false,"given":"Sarit","family":"Badiani","sequence":"additional","affiliation":[{"name":"Bankstown Lidcombe Hospital  Bankstown New South Wales Australia"},{"name":"University of New South Wales School of Medicine  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0740-3737","authenticated-orcid":false,"given":"Christophe R.","family":"Berney","sequence":"additional","affiliation":[{"name":"Bankstown Lidcombe Hospital  Bankstown New South Wales Australia"},{"name":"University of New South Wales School of Medicine  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(05)80237-5"},{"key":"e_1_2_11_3_1","first-page":"107","volume-title":"Master techniques in surgery: Hernia","author":"Jones DB","year":"2012"},{"key":"e_1_2_11_4_1","first-page":"82","article-title":"Obturator hernia revisited: a review of 12 cases in 7\u2009years","volume":"42","author":"Chung CC","year":"1997","journal-title":"J R Coll Surg Edinb"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)00025-1"},{"key":"e_1_2_11_6_1","first-page":"20","article-title":"Strangulated obturator hernia","volume":"75","author":"Gray SW","year":"1974","journal-title":"Surgery"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-007-0328-y"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-013-1169-5"},{"key":"e_1_2_11_9_1","first-page":"457","volume-title":"Anatomy, etiology, symptoms, diagnosis, differential diagnosis, prognosis and treatment","author":"Hernia WLF","year":"1948"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-011-1289-2"},{"key":"e_1_2_11_11_1","unstructured":"WHO Obesity: preventing and managing the global epidemic.Report of a WHO consultation. 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