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Comparison of Optical Forceps-Assisted Single-Port Laparoscopic PIRS and Open Surgery in Morgagni Hernia Repair
European Journal of Pediatric Surgery ( IF 1.8 ) Pub Date : 2022-02-03 , DOI: 10.1055/s-0042-1742663
Can İhsan Öztorun 1 , Doğuş Güney 1 , Hayal Doruk 2 , Tuğba Örnek Demir 2 , Sabri Demir 2 , Ahmet Ertürk 2 , Elif Emel Erten 2 , Müjdem Nur Azılı 1 , Emrah Şenel 1
Affiliation  

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.



中文翻译:

光钳辅助单孔腹腔镜 PIRS 与开放手术在 Moragni 疝修补术中的比较

引言 本研究旨在比较经典手术 (CS) 和光学钳辅助单孔腹腔镜经皮内环缝合 (SP-PIRS) 修复治疗 Morgagni 疝的结果。

材料与方法 2005 年 1 月至 2020 年 7 月期间接受手术的莫尔加尼疝患者纳入研究。将患者分为两组(CS 或 SP-PIRS),并在人口统计学数据、缺陷大小、住院时间、费用、术后并发症和复发方面进行回顾性比较。

结果 32 名患者被纳入本研究。组间性别、缺损大小、术后并发症及复发情况比较,差异无统计学意义(p  > 0.05)。 SP-PIRS组比CS组手术时间短(p  <0.01)、住院时间短(p  =0.02)、费用低(p <0.01)。平均随访24个月,每组2例复发。

结论 推荐使用 SP-PIRS 修复,因为它具有实用性,可减少手术时间、住院时间和成本。它优于其他腹腔镜技术,因为不需要使用额外的研究钳,除非在极端情况下,外科医生可以在没有助手握住腹腔镜的情况下执行手术。

更新日期:2022-02-04
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