Laparoscopic total extraperitoneal obturator hernia repair in critical challenging patients

Abstract

AIM AND PERSPECTIVE: Obturator hernia is an uncommon surgical disease, a condition predominantly affected the elderly, emaciated, female patients. Various surgical procedures have been used to treat this disease, including open and laparoscopic approaches; however, in some special conditions, the technique is still challenging. METHODS: The technique details of total extraperitoneal (TEP) repair in the treatment of obturator hernia in critical challenging conditions were described. RESULTS: The challenging obturator patients had high risk of comorbidities, including massive ascites, partial intestinal obstruction, malnutrition, and previous abdominal surgeries. All the procedures were successful; patients had no modality and recurrences and chronic pain. One patient developed wound dehiscence and healed with bedside suture. CONCLUSION: The present report justifies the feasibility of TEP obturator hernia repair in challenging conditions.