Laparoscopic-assisted repair of Morgagni hernia in children

Mallick, Mohammad Saquib; Alqahtani, Aayed R.

doi:10.1016/j.jpedsurg.2008.10.108

Cited by 40 publications

(42 citation statements)

References 16 publications

(18 reference statements)

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“…Defekt laparoskopi ile de onarılabilir. Bu teknikte değişik metodlar denenmektedir (50)(51)(52)(53)(54). Biz, "insizyonsuz laparoskopik tam kat karın duvarı fiksasyonu" metodunu uyguluyoruz.…”

Section: Morgagni̇ Herni̇si̇unclassified

Diaphragm Pathologies in Childhood

Doğruyol¹

2014

Toraks Cer Bult

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Section: Morgagni̇ Herni̇si̇unclassified

Diaphragm Pathologies in Childhood

Doğruyol¹

2014

Toraks Cer Bult

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“…6 Many technique has been described as primarily closure with a continuous suture by Fernandez et al, 7 interrupted sutures with intracorporeal knot tying, and Ramachandran et al 8 laparoscopic-assisted repair of MH by taking full thickness of anterior abdominal wall in a U-shaped suture under direct vision with extracorporeal knot tying in the subcutaneous tissue is also scribed. 9,10 I used laparoscopic two ports and Sorze port closure needle to insert U-shape sutures to close the defect in MH of infant and children without excision of the sac or insertion of chest drain. This is simplified technical and can help surgeons to overcome difficulties of the laparoscopic surgery, reduce the number of port and improve the operative outcome.…”

Section: 5005/jp-journals-10033-1181mentioning

confidence: 99%

“…15 The cavity obliteration was the same with nonexcised cases. 10 In these study only three cases, hernial sac was excised as it comes to the abdominal cavity during the reduction of the content. There was no bleeding with hernial sac excision by harmonic tissue dissector.…”

mentioning

confidence: 99%

Two Trocar Laparoscopic Repair of Morgagni Hernia in Infant and Childhood: Simplified Technique

Elhaes¹

2013

WJOLS

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Purpose: Morgagni hernia (MH) is a rare entity that accounts for less than 6% of all surgically treated diaphragmatic hernias in pediatric age group. They are mostly asymptomatic and discovered incidentally. Open surgical repair has been the gold standard in all cases. However, since the introduction of minimal access surgery, different laparoscopic techniques of MH repair have been reported. Most of them are reporting on few cases and the immediate outcomes. I report one of the largest experiences to date assessing the safety and efficacy two trocars laparoscopic repair of MH in children with more emphasis on the short-term outcomes, such as the recurrence, conversion rate, operative, postoperative complications and the fate of the hernia sac. Patients and methods:Fifteen children with MHs underwent primary laparoscopic repair by placement of U-shaped, nonabsorbable sutures through the full thickness of the anterior abdominal wall incorporating, the posterior rim of the defect, and returning back out through the anterior abdominal wall with the sutures tied in the subcutaneous tissue using the Storz port closure needle and without hernia sac excision, no insertion of chest tube or drain.Results: A total of 15 patients with MH were operated upon. There were 10 males and 5 females. Left-sided MH was present in five cases (33%), right-sided MH was present in seven cases (47%) and three bilateral MH (20%). Male-female ratio was 2:1. Intraoperative and postoperative analgesia requirement was minimal. All operations were completed laparoscopically. None of the patients developed intraoperative or postoperative complications. The maximum follow-up was 48 months (mean, 20 months). All patients are in good health without recurrence or significant sac residual. Conclusion:This easy save technique of MH repair is reducing the operative time and postoperative hospital stay. Also it is minims the need of postoperative analgesia. The hernia sac excision or not is not affecting the outcome.

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“…It is defined as Larrey hernia when located on the left or as Morgagni hernia (MH) when located on the right of the sternocostal hiatus. If the opening is wide enough to include both hiatus, the defect is called Morgagni-Larrey hernia (44). MH account for 1-6% of all surgically treated diaphragmatic hernias.…”

Section: Foramen Of Morgagni Herniamentioning

confidence: 99%

“…Although some surgeons remove the sacs to identify the fascial edge of the defect (51), some investigators do not favour the procedure due to the risk of perforation of the pericardium and pleura (54). It was reported that leaving the hernia sac plicated in place has no adverse effects (44,45,55). Robotassisted laparoscopic MH repair was also reported to be safe and feasible in children but the set-up time prolongs the procedure and the overall operative time is longer than the laparoscopic-assisted repair (56).…”

Section: Foramen Of Morgagni Herniamentioning

confidence: 99%