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Although are rare, they are associated with a high as diagnosis is often delayed and the condition occur in the elderly. The preoperative diagnosis is difficult because of nonspecific symptoms and sign. They often produce a small bowel obstruction. The treatment is always surgical. Several repair techniques have been described a sac ligation alone, a direct suture repair, and the use of autologous tissue or prosthetic repair. Recently, the placemnet of permanent mesh prostheses, in a clean contaminated operative field, has been performed due to the minimal wound-related morbidity and patient mortality. Thus, utlization a permanent mesh in an obturator hernia is a new. simple and effective method for repair. Two cases of a strangulated obturator hernia were experienced in elderly women. The perioneal cavity was not overly contaminated, with only necrotic foci on the herniated small bowel wall noted. A segmental resection of the small bowel was performed. Consequently, the hernia defect was closed with mesh-plug between the peritoneum and periosteum of the obturator foramen. Here, two cases of obturator herniae treated by use a mesh-plug are reported, with a brief review of the literature.
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