Erfolgreiche laparoskopische roboterassistierte operative Therapie bei beidseitigen ureteroischialen Hernien (Lindbom's Hernie) und Beckenniere

Zusammenfassung

Die ureteroischiale Hernie ist eine selten beschriebene Pathologie die für den behandelnden Arzt eine diagnostische und therapeutische Herausforderung darstellt. Wir stellen in diesem Fallbericht eine Patientin mit symptomatischen beidseitigen ureteroischialen Hernien, sowie einer Beckenniere links vor. Die definitive operative Therapie der Hernien erfolgte in roboterassistierter, laparoskopischer Technik.

Laut unserer Literaturrecherche ist dies der zweite publizierte Fall bilateraler ureteroischialer Hernien, welche laparoskopisch roboterassistiert erfolgreich operiert wurden. Darüber hinaus ist es der erste Fall, in welchem simultan eine Beckenniere vorlag.

In dieser Arbeit präsentieren wir den vierten bekannten Fall eines robotischen Ansatzes zur operativen Behandlung der ureteroischialen Hernie mit Darstellung der diagnostischen und therapeutischen Maßnahmen, sowie der postoperativen Ergebnisse und Literaturrecherche über diese seltene Pathologie.

Abstract

Ureterosciaic hernia is a rarely described pathology that represents a diagnostic and therapeutic challenge for the treating physician. In this case report, we present a patient with symptomatic bilateral ureteroschial hernias and a pelvic kidney on the left. The definitive surgical treatment of the hernias was performed in the robotic-assisted laparoscopic technique.

This is the second case describing bilateral intestinal sciatic hernia, in combination with its diagnosis and robotic surgical repair.

In this paper we present the fourth known case of a robotic approach to the surgical treatment of ureterosciaic hernia with detailed presentation of diagnostic and therapeutic measures, as well as postoperative results and literature research on this rare pathology.

Schlüsselwörter

Roboterassistierte operative Therapie - Foramen ischiadicum - Ureterhernie - Hydronephrose

Keywords

Robot-assisted surgical therapy - Foramen ischiadicum - Ureterhernia - Hydronephrosis

Publication History

Received: 08 February 2022

Accepted: 08 April 2022

Article published online:
12 May 2022

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