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Comparison of Optical Forceps-Assisted Single-Port Laparoscopic PIRS and Open Surgery in Morgagni Hernia Repair
Can İhsan Öztorun1, Doğuş Güney1, Hayal Doruk2
1Department of Pediatric Surgery, Faculty of Medicine, Ankara Yildirim Beyazit University, Ankara, Turkey.
Introduction:
This study aimed to compare the results of classical surgery (CS) and optical forceps-assisted single-port laparoscopic percutaneous internal ring suturing (SP-PIRS) repair for the treatment of Morgagni hernia.
Materials And Methods:
Patients with Morgagni hernia who were operated on between January 2005 and July 2020 were included in the study. Patients were divided into two groups (CS or SP-PIRS) and compared retrospectively in terms of demographic data, defect size, duration of hospitalization, costs, postoperative complications, and recurrence.
Results:
Thirty-two patients were included in this study. There were no statistically significant differences between the groups in terms of gender, defect size, postoperative complications, and recurrence (p > 0.05). The SP-PIRS group had a shorter operation time (p < 0.01), shorter hospital stay (p = 0.02), and lower cost (p < 0.01) than the CS group. The average follow-up was 24 months, and recurrence was detected in two patients in each group.
Conclusion:
SP-PIRS repair is recommended because it is practical to perform and reduces the duration of surgery, hospital stay, and cost. It is superior to other laparoscopic techniques, as there is no need to use additional study forceps, except in extreme cases, and the surgeon can perform the procedure without an assistant to hold the laparoscope.
Insights
Optical forceps-assisted single-port laparoscopic percutaneous internal ring suturing (SP-PIRS) offers a practical, cost-effective Morgagni hernia repair. This method reduces surgery duration and hospital stay compared to classical surgery (CS).
Area of Science:
- Minimally Invasive Surgery
- Pediatric Surgery
- Thoracic Surgery
Background:
- Morgagni hernia presents a surgical challenge.
- Classical surgery (CS) and single-port laparoscopic percutaneous internal ring suturing (SP-PIRS) are treatment options.
- Comparing these techniques is crucial for optimal patient outcomes.
Purpose of the Study:
- To compare the efficacy and outcomes of classical surgery (CS) versus optical forceps-assisted SP-PIRS for Morgagni hernia repair.
- To evaluate differences in operative time, hospitalization, costs, complications, and recurrence rates.
Main Methods:
- Retrospective analysis of 32 patients with Morgagni hernia operated between January 2005 and July 2020.
- Patients were divided into two groups: CS and SP-PIRS.
- Comparison of demographic data, defect size, hospitalization duration, costs, complications, and recurrence.
Main Results:
- No significant differences in gender, defect size, complications, or recurrence between CS and SP-PIRS groups.
- SP-PIRS demonstrated significantly shorter operation times (p<0.01), hospital stays (p=0.02), and lower costs (p<0.01).
- Average follow-up was 24 months, with two recurrences in each group.
Conclusions:
- SP-PIRS is a practical and recommended technique for Morgagni hernia repair.
- It offers advantages over CS by reducing surgery duration, hospital stay, and cost.
- SP-PIRS is superior to other laparoscopic techniques, potentially not requiring an assistant for laparoscope holding.
