Successful manual reduction for ureterosciatic hernia: A case report
Jiro Kimura1, Kentaro Yoshikawa1, Takashi Sakamoto1
1Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan.
International Journal of Surgery Case Reports
|April 9, 2019
Summary
Sciatic hernias, a rare pelvic floor condition, can be treated with ultrasound-guided manual reduction in women. This technique avoids surgery and shows no recurrence after 10 months, offering a new management option.
Area of Science:
- Hernia Surgery
- Pelvic Floor Disorders
- Gastroenterology
Background:
- Sciatic hernias are rare pelvic floor hernias.
- Characterizing sciatic hernias and their outcomes is crucial.
Purpose of the Study:
- To present a novel technique for manual reduction of sciatic hernias.
- To systematically review previous reports of sciatic hernias.
Main Methods:
- A case of an 86-year-old female with a sciatic hernia is presented.
- Ultrasound-guided manual transvaginal reduction was performed.
- A systematic review of 72 reported sciatic hernia cases was conducted.
Main Results:
- The novel manual reduction technique successfully treated the patient.
- The systematic review identified 72 cases of sciatic hernias.
- Open reduction was performed in 24 patients, with 4 complications reported.
Conclusions:
- Sciatic hernias in women can be managed with non-surgical manual reduction.
- This approach offers a viable alternative to surgical intervention.
- Further research is needed to establish optimal management strategies for sciatic hernias.
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