Azzie Georges, Maoate Kiki, Beasley Spencer, Retief Wilhelm, Bensoussan Arie
Department of Pediatric Surgery, Christchurch Hospital, Christchurch, New Zealand.
J Pediatr Surg. 2003 May;38(5):768-70. doi: 10.1016/jpsu.2003.50163.
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.
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.
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.
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.
背景/目的：先前关于儿童 Morgagni 疝腹腔镜修补术的报道涉及相对复杂的腹腔镜技术。本报告描述了一种我们应用于 4 名儿童的更简单的修补方法。
4 名患有胸骨后（Morgagni）疝的儿童接受了初次腹腔镜修补术，通过在前腹壁全层放置间断合成不可吸收缝线，将缺损后缘纳入并从前腹壁穿出，缝线在皮下组织打结。
年龄在 11 至 36 个月的这些儿童接受了 Morgagni 疝的腹腔镜修补术，术后恢复顺利，除 1 例出现穿刺孔疝外。
这种原发性 Morgagni 疝腹腔镜修补技术操作简便，患者耐受性良好，美容效果极佳。通过将疝的后缘缝合至前腹壁全层来腹腔镜关闭缺损似乎为修复此类疝提供了一种安全有效的方法。
