Laparoscopic assisted anterior transabdominal wall closure using loop suture removing technique in Morgagni hernia: safe and easy method
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In brief
In brief
Retrospective study of 17 pediatric patients demonstrates that laparoscopic-assisted transabdominal wall closure with subcutaneous knot placement for Morgagni hernia repair achieves excellent outcomes without mesh, with mean operative time of 40 minutes and no recurrences at 24-month follow-up.
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Abstract
Purpose
The treatment of MH entails surgical repair either by open abdominal or thoracic approaches or by minimal invasive surgery. The aim of this study is to evaluate the surgical and clinical outcomes of children who underwent laparoscopic assisted transabdominal wall closure and subcutaneous knot placement technique.
Methods
This retrospective study includes pediatric patients who underwent surgery for MH between January 2015 and February 2019. The patients’ demographic data, symptoms, operative findings and technique and postoperative outcomes were recorded.
Results
A total of 17 children with MH were treated. There were 13 boys (76.5%) and four (23.5%) girls. Six patients had trisomy 21 (37%). The mean operation time was 40 min (25–90 min). The hernia sac was removed in all patients and there was no need for prosthetic patch in any of the children. Mean time to start feeding was 10 h (6–24 h). The mean hospitalization time was 2 days (1–5 days). There were no complications intraoperatively or postoperatively. The mean follow-up time was 24 months (6–40). No recurrence occurred during the follow-up time.
Conclusion
Laparoscopic assisted transabdominal wall closure and subcutaneous knot placement technique is a preferable method with excellent outcomes and short hospitalization and feeding time postoperatively. This technique may be performed easily and safely without requiring any additional experience other than basic laparoscopy skills.