Yilmaz Engin, Afsarlar Cagatay Evrim, Erdogan Derya, Ozguner Ismet Faruk
a Department of Pediatric Surgery , Dr. Sami Ulus Maternity, Children's Health and Diseases Training and Research Hospital , Ankara , Turkey.
Minim Invasive Ther Allied Technol. 2017 Jun;26(3):182-187. doi: 10.1080/13645706.2016.1263213. Epub 2016 Dec 8.
Morgagni hernia is a relatively rare form of diaphragmatic hernia in the pediatric age group and it is conventionally treated with open surgical repair. Minimal access surgery is currently being adapted for many procedures in children. However, to date just a few techniques have been described relevant to minimal access surgical repair of Morgagni hernia in children. Herein, we report two cases of Morgagni hernia repaired by a new single-port laparoscopic technique assisted by an optical forceps. Two infants, a one-year-old boy and an eight-month-old girl, were operated with this technique in just 26 and 35 min and were discharged with oral analgesic prescription by postoperative hour 5 and 8, respectively. In the English-language literature, these cases are the first reports of laparoscopic Morgagni hernia repair that were performed as an outpatient procedure. Also, the technique introduced can be easily applied by a single surgeon without an assistant to operate the laparoscope.
莫尔加尼疝是小儿年龄组中一种相对罕见的膈疝形式，传统上采用开放手术修复。目前，微创手术正在应用于儿童的许多手术中。然而，迄今为止，关于小儿莫尔加尼疝的微创外科修复，仅有少数技术被描述。在此，我们报告两例采用新型单孔腹腔镜技术并借助光学钳修复的莫尔加尼疝病例。两名婴儿，一名一岁男孩和一名八个月大的女孩，分别在仅26分钟和35分钟内接受了该技术手术，并分别在术后第5小时和第8小时口服镇痛药后出院。在英文文献中，这些病例是作为门诊手术进行的腹腔镜莫尔加尼疝修复的首例报告。此外，所介绍的技术可由单一外科医生轻松应用，无需助手操作腹腔镜。
