Sciatic hernia, a rare type of pelvic floor hernia, presents significant diagnostic and therapeutic challenges. We report the first totally extraperitoneal (TEP) repair of a sciatic hernia, which was performed in a 63-year-old woman who presented with vomiting and poor dietary intake. Computed tomography revealed a strangulated femoral hernia and an incidental herniation of the sigmoid colon through the right sciatic foramen. Simultaneous TEP repair of both hernias was successfully performed. The TEP approach offered a wide field of view without disturbing the abdominal organs and facilitated the management of concurrent hernias, making it particularly beneficial when the diagnosis of sciatic hernia is certain.
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- * Treatment options include stenting to alleviate symptoms, but if issues recur, a more invasive solution called sciatic hernioplasty may be necessary.
- * This article discusses a case of a woman with non-specific abdominal pain who was found to have a right-sided ureterosciatic hernia; after initial stenting failed, she underwent laparoscopic surgery and was pain-free a year later.
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