Obturator Hernia

• 0.1% of hernias, 0.2% of bowel obstructions
• Greater incidence in females than males ( 9:1)
• Frail women in 7th or 8th decade
• More common on right
• 20% bilateral
• Medial groin pain secondary to obturator nerve impingement
• Howship-Romberg sign (hip-knee pain)
• Repair via abdominal approach with mesh
• 25% mortality