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Published on: November 12, 2021
Laparoscopic assisted anterior transabdominal wall closure using loop suture removing technique in Morgagni hernia:
Ergun Ergun1, Gulnur Gollu2, Ufuk Ates2
1Department of Pediatric Surgery, Ankara University School of Medicine, Ankara, Turkey. drergunergun@gmail.com.
Insights
This study shows laparoscopic assisted transabdominal wall closure is a safe and effective surgical technique for treating Meckel's diverticulum (MD) in children. The method offers excellent outcomes with minimal complications and short recovery times.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Surgical repair of Meckel's diverticulum (MD) can be performed via open or minimally invasive approaches.
- Evaluating novel techniques for pediatric MD repair is crucial for improving patient outcomes.
Purpose of the Study:
- To assess the surgical and clinical outcomes of pediatric patients undergoing laparoscopic assisted transabdominal wall closure and subcutaneous knot placement for MD.
- To determine the efficacy and safety of this minimally invasive technique in children.
Main Methods:
- Retrospective study of 17 pediatric patients with MD treated between January 2015 and February 2019.
- Data collected included demographics, symptoms, operative findings, technique details, and postoperative outcomes.
- Laparoscopic assisted transabdominal wall closure with subcutaneous knot placement was the surgical technique employed.
Main Results:
- All 17 patients (13 boys, 4 girls) were successfully treated without intraoperative or postoperative complications.
- The mean operation time was 40 minutes; hernia sac removal was standard, with no need for prosthetic patches.
- Mean feeding and hospitalization times were short (10 hours and 2 days, respectively), with no recurrence during a mean 24-month follow-up.
Conclusions:
- Laparoscopic assisted transabdominal wall closure and subcutaneous knot placement is a safe and effective technique for pediatric MD.
- This method yields excellent outcomes, including short hospitalization and feeding times.
- The technique requires only basic laparoscopic skills, making it readily accessible.
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.
