Abstract
Making the diagnosis of obturator hernia has recently become easier with the development of computed tomography (CT). However since this disease often affects elderly patients, some patients only consult a doctor after progression. As the incarcerated intestine often develops necrosis, a mesh prosthesis is not indicated, resulting in the simple closure of the obturator canal. We encountered 13 obturator hernia cases in the last 5 years of which 5 used a Kugel patch which was inserted into the preperitoneal space on the obturator orifice from the midline incision. In 1 of the 5 cases, resection of the small intestine was performed. This method only has minimal risk for infection from the patch due to closure of the preperitoneal space after insertion of the patch, and is an effective way to cover many pelvic hernias.
