A rare case of a concomitant inguinal and obturator hernia and their laparoscopic transabdominal repair: A case report

A rare case of a concomitant inguinal and obturator hernia and their laparoscopic transabdominal repair: A case report

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An obturator hernia remains a rare occurrence and accounts for less than 1% of all abdominal wall hernias.To have a concomitant presentation with a direct inguinal hernia makes this an extremely rare case report.This patient did not fit the usual epidemiological profile of an elderly female with small intestinal obstruction.This was a male patient with an asymptomatic obturator hernia.There are no concise guidelines for obturator hernia management and the primary repair is often undertaken in the presence of bowel Canine - Holiday - Christmas - Clothing incarceration or strangulation.

The use of overlapping mesh herniorrhaphy is a controversial one.Two self-gripping S.H. MonsterArts polypropylene meshes with a 2-cm overlap were used to provide adequate coverage of the two hernial necks.We did not have access to a large-size mesh at our institution to cover both hernial defects effectively with one mesh.The patient made an uneventful recovery, and it is our intent to follow this patient for a minimum of 2 years to document any hernia recurrence or inguinodynia.Any clinical signs of pain or discomfort will necessitate a computerised tomography scan as an obturator hernia remains difficult to assess clinically.