Successful laparoscopic management of an incarcerated obturator hernia

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 incar-cerated obturator hernia in an octogenarian. The authors report a case of an incarcerated obturator hernia in an elderly female with subse-quent 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 data-bases such as PUBMED and EMBASE. 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 modal-ity. 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