PP 37. Successful Laparoscopic Management Of An Incarcerated Obturator Hernia

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N. Lynch, M. Corrigan, E. Andrews, D. Kearney

18:46 - 18:52h at Margrit Room

Categories: Abdominal Wall and Hernia, Plastic and Reconstructive Surgery, Poster Session

Session: Poster (P3) - Abdominal Wall & Hernia / Plastic & Reconstructive Surgery

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Background
Obturator hernia is a rare pelvic hernia that occurs primarily in multiparous, elderly (>70 years of age), thin females. This case highlights the successful laparoscopic mesh repair of an incarcerated obturator hernia in an octogenarian.

Material and Methods
The authors report a case of an incarcerated obturator hernia in an elderly female with subsequent high-grade small bowel and its successful laparoscopic operative management. A review of the relevant literature was also performed following a search on the online literature databases PUBMED and EMBASE.

Result
Laparoscopic mesh repair of the incarcerated obturator hernia and an ipsilateral femoral hernia found incidentally was successfully performed. A review of the literature showed a significant burden of morbidity and mortality associated with obturator hernias. Laparoscopic mesh repair has been previously shown to be a safe therapeutic modality.

Conclusion
Small bowel obstruction and leg pain in a thin elderly lady should arouse suspicion for an incarcerated obturator hernia. Laparoscopic management of an incarcerated obturator hernia is a feasible and safe therapeutic option.