# Single-Incision Laparoscopic Totally Extraperitoneal (SILS-TEP) Repair of a Fat Plug-Induced Obturator Hernia With Neuralgia in a Middle-Aged Male Patient

## TL;DR

A middle-aged man with a rare fat plug-induced obturator hernia causing nerve pain was successfully treated with a minimally invasive surgical technique.

## Contribution

Demonstrates the efficacy of SILS-TEP for treating fat plug-type obturator hernias with neuralgia in a middle-aged male.

## Key findings

- SILS-TEP repair relieved symptoms of obturator neuralgia caused by a fat plug-type hernia.
- No recurrence was observed after the minimally invasive surgical treatment.
- Fat plug-induced obturator hernias can present with neuralgia and not bowel involvement.

## Abstract

Obturator hernia is a rare type of pelvic hernia most commonly seen in elderly women. We report a case of a middle-aged man who presented with obturator neuralgia caused by an obturator hernia containing only preperitoneal fat without bowel involvement. The patient underwent single-incision laparoscopic totally extraperitoneal (SILS-TEP) repair, which promptly relieved his symptoms with no recurrence. This case highlights that a fat plug-type obturator hernia can cause neuralgia and demonstrates the efficacy of SILS-TEP as a minimally invasive treatment option.