Case Report: A case of suprapiriform ureterosciatic hernia with ureteral incarceration treated by total extraperitoneal laparoscopic technique.
- 1Department of General Surgery, Mianyang Central Hospital, Affiliated with Electronic Science and Technology University Medical College, Mianyang, Sichuan, China.
Abstract
Sciatic hernias (SH) are one of the rarest forms of pelvic floor hernia. Suprapiriform sciatic hernia (SSH) is the most common type among them. We present the case of a male patient with a preoperative contrast enhanced CT urogram suggesting left ureteral incarceration due to a left ureterosciatic hernia. With the combined efforts of the general surgery and urology departments, we performed a tension-free repair of the ureterosciatic hernia using a total extraperitoneal laparoscopic approach (TEP). Additionally, the left ureter is released from the hernia sac and a double J ureteral stent placement were accomplished via transurethral ureteroscopy. Intraoperative diagnosis confirmed left suprapiriform ureterosciatic hernia with left ureteral incarceration. The double J ureteral stent was removed one month after surgery and follow up continued for 3 months, during which time the patient showed no signs or symptoms of recurrence. Therefore, total extraperitoneal laparoscopic exploration and repair can be considered a favorable treatment modality for symptomatic suprapiriform ureterosciatic hernia and other types of sciatic hernia. Especially in view of the advantages of minimal trauma, rapid recovery, better visual field, convenient observation of surrounding anatomical structures, and improved operation maneuverability.
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BibTeX
@article{luo2026case,
title = {{Case Report: A case of suprapiriform ureterosciatic hernia with ureteral incarceration treated by total extraperitoneal laparoscopic technique.}},
author = {Dan Luo},
journal = {Frontiers in surgery},
year = {2026},
month = oct,
doi = {10.3389/fsurg.2026.1867501},
url = {https://europepmc.org/article/MED/42923107},
note = {CC BY},
}
RIS
TY - JOUR
TI - Case Report: A case of suprapiriform ureterosciatic hernia with ureteral incarceration treated by total extraperitoneal laparoscopic technique.
AU - Dan Luo
PY - 2026
DA - 2026/10/08
JO - Frontiers in surgery
DO - 10.3389/fsurg.2026.1867501
UR - https://europepmc.org/article/MED/42923107
AB - Sciatic hernias (SH) are one of the rarest forms of pelvic floor hernia. Suprapiriform sciatic hernia (SSH) is the most common type among them. We present the case of a male patient with a preoperative contrast enhanced CT urogram suggesting left ureteral incarceration due to a left ureterosciatic hernia. With the combined efforts of the general surgery and urology departments, we performed a tension-free repair of the ureterosciatic hernia using a total extraperitoneal laparoscopic approach (TEP). Additionally, the left ureter is released from the hernia sac and a double J ureteral stent placement were accomplished via transurethral ureteroscopy. Intraoperative diagnosis confirmed left suprapiriform ureterosciatic hernia with left ureteral incarceration. The double J ureteral stent was removed one month after surgery and follow up continued for 3 months, during which time the patient showed no signs or symptoms of recurrence. Therefore, total extraperitoneal laparoscopic exploration and repair can be considered a favorable treatment modality for symptomatic suprapiriform ureterosciatic hernia and other types of sciatic hernia. Especially in view of the advantages of minimal trauma, rapid recovery, better visual field, convenient observation of surrounding anatomical structures, and improved operation maneuverability.
SN - 2296-875X
ER -