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

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.