A simple technique of laparoscopic full-thickness anterior abdominal wall repair of retrosternal (Morgagni) hernias.

Abstract:

BACKGROUND/PURPOSE:Previous reports of laparoscopic repair of Morgagni hernias in children have involved relatively complex laparoscopic techniques. This report describes a simpler method of repair that we have applied to 4 children. METHODS:Four children with retrosternal (Morgagni) hernias underwent primary laparoscopic repair by placement of interrupted synthetic 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. RESULTS:The children, ranging in age from 11 to 36 months, underwent laparoscopic repair of their Morgagni hernias and had an uneventful postoperative recovery, apart from a port site hernia in one. CONCLUSIONS:This technique for primary laparoscopic repair of Morgagni hernia is easy to perform, well tolerated by the patient, and gives excellent cosmetic results. Laparoscopic closure of the defect by suturing the posterior rim of the hernia to the full thickness of the anterior abdominal wall would appear to provide a safe and effective means of repairing this type of hernia.

journal_name

J Pediatr Surg

authors

Azzie G,Maoate K,Beasley S,Retief W,Bensoussan A

doi

10.1016/jpsu.2003.50163

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

768-70

issue

5

eissn

0022-3468

issn

1531-5037

pii

S0022346803000071

journal_volume

38

pub_type

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