Asian J Endosc Surg

. 2020 Sep 29. doi: 10.1111/ases.12864. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/32996277/

Single-incision laparoscopic full-thickness anterior abdominal wall repair of a Morgagni hernia using a suture-assisting needle in a child: A case report

Yudai Goto ^1 2, Kotaro Mimori ¹, Seiya Ogata ¹, Hirofumi Shimizu ¹, Yutaka Fukuda ³, Hideaki Tanaka ¹Affiliations expand

• PMID: 32996277
• DOI: 10.1111/ases.12864

Abstract

Single-incision laparoscopic repair of a congenital Morgagni diaphragmatic hernia using a suture-assisting needle was performed in a 1-year-old boy. Three ports were inserted through a single umbilical incision to repair the 2.5 × 2.3-cm defect. The full-thickness muscle layer of the anterior abdominal wall and the posterior rim of the defect were penetrated with the suture-assisting needle holding a thread, which was then released. The needle tip was pulled back over the muscle layer, shifted laterally, and again passed through the muscle layer and the posterior rim. The thread was then captured by the needle and pulled out through the anterior abdominal wall. Five mattress sutures were placed in this way and tied subcutaneously. The postoperative course was uneventful, and the cosmetic outcome was favorable. A suture-assisting needle is useful for completing full-thickness anterior abdominal wall repair, which is important for preventing the recurrence of a congenital Morgagni diaphragmatic hernia.

Keywords: Morgagni hernia; child; suture-assisting needle.

© 2020 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.