Laparoscopic treatment of asymptomatic bilateral obturator hernias using polypropylene mesh plugs

We present a rare case of asymptomatic bilateral obturator hernias which we re treated by laparoscopic repair using polypropylene mesh plugs. A patient was diagnosed by Barium enema as having nonstrangulated Richter's hernia o f the sigmoid colon in the left obturator foramen. Laparoscopically, a segm ent of the small intestine, instead of the sigmoid colon, prolapsed into th e left obturator foramen and Richter's hernia of the colon through the righ t obturator foramen was also identified Reduction of the herniated viscera followed by insertion of a polypropylene mesh plug into both obturator fora mens and closure of the peritoneum by a hernia stapler was performed. Lapar oscopic repair of the asymptomatic obturator hernia using polypropylene mes h plug could be a minimally invasive procedure which can be successfully pe rformed.