{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:02:28Z","timestamp":1791475348366,"version":"4.3.4"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T00:00:00Z","timestamp":1641859200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T00:00:00Z","timestamp":1641859200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Sciatic hernias are rare pelvic floor hernias that occur through the sciatic foramen and often present as abdominal or pelvic pain, particularly in women. Historically, they were repaired using an open approach, with limited reports on their laparoscopic treatment.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>Here we present the case of an 85-year-old woman who had repeated abdominal pain and was referred to our hospital for sciatic hernia surgery after conservative treatment. We laparoscopically observed the deep pelvis and identified the right sciatic hernia. When an extraperitoneal space was dissected, an ureterohypogastric nerve fascia (UNF) and a vesicohypogastric fascia (VF) were identified. Moreover, the maneuver to mobilize the fasciae inside from the pelvic wall made it possible to separate the ureter and urinary bladder, which might have otherwise incarcerated in the hernia. We repaired the defect of the sciatic foramen with a mesh plug and patch. The patient had an uneventful recovery, and the absence of sciatic herniation recurrence was confirmed 1\u00a0year after surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>A laparoscopic repair of a sciatic hernia could permit detailed non-invasive observations of the deep pelvis and be performed effectively by recognizing an UNF and a VF located near the sciatic foramen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-022-01362-4","type":"journal-article","created":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T09:03:03Z","timestamp":1641891783000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Laparoscopic repair of sciatic hernia recognizing the ureterohypogastric nerve fascia and vesicohypogastric fascia: a case report"],"prefix":"10.1186","volume":"8","author":[{"given":"Mutsumi","family":"Fujimoto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9428-2210","authenticated-orcid":false,"given":"Masashi","family":"Miguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Mitsuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Nakahara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiyuki","family":"Itamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,11]]},"reference":[{"issue":"1","key":"1362_CR1","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.amjsurg.2009.02.009","volume":"199","author":"JE Losanoff","year":"2010","unstructured":"Losanoff JE, Basson MD, Gruber SA, Weaver DW. Sciatic hernia: a comprehensive review of the world literature (1900\u20132008). Am J Surg. 2010;199(1):52\u20139.","journal-title":"Am J Surg"},{"key":"1362_CR2","first-page":"787528","volume":"2014","author":"Y Tsuzaka","year":"2014","unstructured":"Tsuzaka Y, Saisu K, Tsuru N, Homma Y, Ihara H. Laparoscopic repair of a ureteric sciatic hernia: report of a case. Case Rep Urol. 2014;2014:787528.","journal-title":"Case Rep Urol"},{"issue":"3","key":"1362_CR3","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1007\/s00595-020-01958-z","volume":"50","author":"R Nakanishi","year":"2020","unstructured":"Nakanishi R, Yamaguchi T, Akiyoshi T, Nagasaki T, Nagayama S, Mukai T, et al. Laparoscopic and robotic lateral lymph node dissection for rectal cancer. Surg Today. 2020;50(3):209\u201316.","journal-title":"Surg Today"},{"issue":"2","key":"1362_CR4","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1007\/s00464-016-5014-7","volume":"31","author":"A Matsumoto","year":"2017","unstructured":"Matsumoto A, Arita K. A technique of laparoscopic lateral pelvic lymph node dissection based on vesicohypogastric fascia and ureterohypogastric nerve fascia for advanced low rectal cancer. Surg Endosc. 2017;31(2):945\u20138.","journal-title":"Surg Endosc"},{"issue":"6","key":"1362_CR5","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.1007\/s00595-013-0742-y","volume":"44","author":"T Karasaki","year":"2014","unstructured":"Karasaki T, Nakagawa T, Tanaka N. Sciatic hernia: is it really rare? Surg Today. 2014;44(6):1079\u201383.","journal-title":"Surg Today"},{"issue":"892","key":"1362_CR6","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1259\/bjr.75.892.750381","volume":"75","author":"PC Yu","year":"2002","unstructured":"Yu PC, Ko SF, Lee TY, Ng SH, Huang CC, Wan YL. Small bowel obstruction due to incarcerated sciatic hernia: ultrasound diagnosis. Br J Radiol. 2002;75(892):381\u20133.","journal-title":"Br J Radiol"},{"issue":"6","key":"1362_CR7","first-page":"998","volume":"91","author":"JR Miklos","year":"1998","unstructured":"Miklos JR, O\u2019Reilly MJ, Saye WB. Sciatic hernia as a cause of chronic pelvic pain in women. Obstet Gynecol. 1998;91(6):998\u20131001.","journal-title":"Obstet Gynecol"},{"key":"1362_CR8","doi-asserted-by":"publisher","first-page":"106333","DOI":"10.1016\/j.ijscr.2021.106333","volume":"86","author":"F Zeng","year":"2021","unstructured":"Zeng F, Shames B, Appel E, Varalakshmi N, Mortensen E, Maheshwari N. Bilateral sciatic hernias in an elderly woman successfully managed with robotic surgery: a case report and literature review. Int J Surg Case Rep. 2021;86:106333.","journal-title":"Int J Surg Case Rep"},{"issue":"1","key":"1362_CR9","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1007\/s10029-009-0509-y","volume":"14","author":"AC Bernard","year":"2010","unstructured":"Bernard AC, Lee C, Hoskins J, Lee J, Patel S, Ginn G, et al. Sciatic hernia: laparoscopic transabdominal extraperitoneal repair with plug and patch. Hernia. 2010;14(1):97\u2013100.","journal-title":"Hernia"},{"issue":"3","key":"1362_CR10","doi-asserted-by":"publisher","first-page":"277","DOI":"10.5505\/tjtes.2011.62347","volume":"17","author":"SA Rather","year":"2011","unstructured":"Rather SA, Dar TI, Malik AA, Parray FQ, Ahmad M, Asrar S. Sciatic hernia clinically mimicking obturator hernia, missed by ultrasonography: case report. Ulus Travma Acil Cerrahi Derg. 2011;17(3):277\u20139.","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"issue":"7","key":"1362_CR11","doi-asserted-by":"publisher","first-page":"W10","DOI":"10.1308\/147870807X227836","volume":"89","author":"C Witney-Smith","year":"2007","unstructured":"Witney-Smith C, Undre S, Salter V, Al-Akraa M. An unusual case of a ureteric hernia into the sciatic foramen causing urinary sepsis: successfully treated laparoscopically. Ann R Coll Surg Engl. 2007;89(7):W10\u20132.","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01362-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-022-01362-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01362-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T09:25:28Z","timestamp":1641893128000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-022-01362-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,11]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["1362"],"URL":"https:\/\/doi.org\/10.1186\/s40792-022-01362-4","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,11]]},"assertion":[{"value":"6 October 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 January 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 January 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures have been performed in accordance with the ethical standards of the appropriate version of the Declaration of Helsinki. Ethics committee approval was unnecessary for this case report. Patient anonymity has been preserved, and personal information has been protected.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"No potential conflicts of interest were disclosed.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"9"}}