Abstract

First-line treatment of obturator hernia is emergent surgery. The present study investigated the safety, feasibility and effectiveness of laparoscopic surgery for obturator hernia using a modified laparoscopic transabdominal technique with two-layer suture. This study included four female patients with CT-confirmed obturator hernia who received a modified laparoscopic transabdominal technique with twolayer suture between March 2014 and March 2019. All data were analyzed retrospectively, including patients' demographic and clinical characteristics, perioperative details, mortality, and recurrence. Patients' mean age was 88 years. Mean operative time was 150 min and 79 min for patients with and without bowel resection, respectively. Mean hospital stay was 19 days. Mean follow-up was seven years. No major complications or recurrencewere reported in these patients during the follow-up period. One patient expired during hospitalization due to pneumonia and heart failure. Results of this study demonstrate the advantages of lower mortality and recurrence associated with the laparoscopic transabdominal technique with two-layer suture approach compared to the open approach. The use of laparoscopic transabdominal technique with two-layer suture is a safe and feasible minimally invasive strategy that allows simultaneous diagnosis and treatment of occult hernias during the same procedure.