Therapeutic strategy for incarcerated obturator hernia: laparoscopic surgery after ultrasound-guided noninvasive manual reduction

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Obturator hernia is a rare condition with high morbidity, primarily affecting elderly women, often leading to intestinal obstruction or necrosis.
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The study evaluated 15 patients with incarcerated obturator hernia treated with ultrasound-guided manual reduction followed by laparoscopic repair.
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Successful manual reduction was achieved in 13 of 15 cases, resulting in an 86.7% reduction rate, with laparoscopic surgery attempted in 13 cases.
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Among the surgical cases, laparoscopic mesh-plug hernioplasty was performed in 11 cases, with minimal blood loss and a median surgical time of 57 minutes.
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Early diagnosis and intervention are crucial for managing incarcerated obturator hernia, especially in elderly patients with multiple comorbidities.

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