J Pediatr Surg
. 2024 Jun;59(6):1089-1093.
doi: 10.1016/j.jpedsurg.2023.11.015. Epub 2023 Dec 2. https://pubmed.ncbi.nlm.nih.gov/38220555/
Comparison of Single-incision Laparoscopic Percutaneous and Cystoscope Forceps Assisted Morgagni Hernia Repair Techniques
Mehmet Hanifi Okur 1, Bahattin Aydoğdu 2, Mustafa Azizoğlu 3, Serkan Arslan 4, Salih Bayram 5, Erol Basuguy 4
Affiliations expand
- PMID: 38220555
- DOI: 10.1016/j.jpedsurg.2023.11.015
Abstract
Objective: Our goal was to compare single-incision laparoscopic percutaneous and cystoscope forceps-assisted Morgagni hernia repair techniques.
Materials and methods: A total of 40 patients were allocated to two groups, each with 20 patients. Group 1: Single incision (port) laparoscopic surgical percutaneous Morgagni hernia repair (with a 5 mm Storz laparoscopic scope entered through the umbilicus). Group 2: Single incision (port) laparoscopic surgical percutaneous Morgagni hernia repair (with an 11 Fr [3.6 mm] cystoscope entered through the umbilicus + using forceps + sac plication, and sac cauterization). In Group 1; the sac was not removed. In group 2; we advanced the forceps through the cystoscope, caught the sac, pushed the needle through the sac, plicated the sac, and then cauterized the sac with Bugbee electrode.
Results: Of the 40 patients, 70 % (n = 28) were male. The symptoms at admission included repeated chest infections (40 %), dyspnea (30 %), vomiting (22 %), and abdominal pain (22 %). No difference was found between groups in terms of age, gender symptomatology, or associated anomalies. The operation time was shorter in group 2 compared to group 1 (p < 0.05; 25 min vs 40 min). Although there was one recurrence in Group 1, no recurrence was reported in Group 2. The recurrence incidence did not differ between groups (p > 0.05).
Conclusions: Cystoscope-assisted repair of Morgagni hernia was found to be superior in terms of safety and shorter operation time.
Level of evidence: Type III.
Type of the study: Retrospective study.
Keywords: Minimal invasive surgery; Morgagni hernia; Percutaneous repair.
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