A Case of Incarcerated Obturator Hernia Repaired Electively Using the Laparoscopy-assisted Total Extraperitoneal Approach

Abstract

A 75-year-old woman presented with abdominal pain. Abdominal computed tomography revealed a fluid-filled bowel loop incarcerated in the right obturator canal between the pectineus muscles anteriorly and the external obturator muscles posteriorly. She was diagnosed as having right incarcerated obturator hernia. Noninvasive reduction with a manual femoral pressure method was performed 4 hours after the onset of the symptom. After 3 days of reduction, she underwent repair of the obturator hernia by the laparoscopy-assisted total extraperitoneal approach (TEP). Elective TEP after noninvasive reduction could be recommended as a minimally invasive treatment.