Single-port laparoscopic repair of a Morgagni diaphragmatic hernia in a pediatric patient: advancement in single-port technology allows effective intracorporeal suturing

J Pediatr Surg. 2010 Mar;45(3):E21-4. doi: 10.1016/j.jpedsurg.2009.12.029.

Abstract

We report a case of a foramen of Morgagni hernia repaired by a single-port laparoscopic technique. A 20-month-old (10 kg) boy underwent a 97-minute procedure through a 15-mm umbilical incision and had no complications. Although other pediatric single-port case series have been reported in the literature, this case represents the first time a diaphragmatic defect has been addressed. Moreover, unlike previous experiences that involved procedures of resection (appendectomy, cholecystectomy, etc), this case required operative repair and reconstruction with intracorporeal suturing via a single-access site. Advancement in instrument and port technology makes such procedures feasible in pediatric patients.

Publication types

  • Case Reports

MeSH terms

  • Follow-Up Studies
  • Hernia, Diaphragmatic / diagnosis
  • Hernia, Diaphragmatic / surgery*
  • Humans
  • Infant
  • Laparoscopes*
  • Laparoscopy / methods*
  • Length of Stay
  • Male
  • Minimally Invasive Surgical Procedures / methods
  • Suture Techniques
  • Time Factors
  • Treatment Outcome
  • Umbilicus / surgery*
  • Wound Healing / physiology