Okur, Mehmet HanifiAydoğdu, BahattinAzizoğlu, MustafaArslan, SerkanBayram, SalihBasuguy, Erol2024-04-242024-04-242024Okur, M. H., Aydoğdu, B., Azizoğlu, M., Arslan, S., Bayram, S. ve Basuguy, E. (2024). Comparison of single-incision laparoscopic percutaneous and cystoscope forceps assisted morgagni hernia repair techniques. Journal of Pediatric Surgery, 59(6), 1089-1093.0022-3468https://doi.org/10.1016/j.jpedsurg.2023.11.015https://hdl.handle.net/11468/23329https://www.sciencedirect.com/science/article/pii/S0022346823007236?via%3DihubObjective: Our goal was to compare single-incision laparoscopic percutaneous and cystoscope forceps-assisted Morgagni hernia repair techniques. Materials and methods: A total of 40 patients were allocated to two groups, each with 20 patients. Group 1: Single incision (port) laparoscopic surgical percutaneous Morgagni hernia repair (with a 5 mm Storz laparoscopic scope entered through the umbilicus). Group 2: Single incision (port) laparoscopic surgical percutaneous Morgagni hernia repair (with an 11 Fr [3.6 mm] cystoscope entered through the umbilicus + using forceps + sac plication, and sac cauterization). In Group 1; the sac was not removed. In group 2; we advanced the forceps through the cystoscope, caught the sac, pushed the needle through the sac, plicated the sac, and then cauterized the sac with Bugbee electrode. Results: Of the 40 patients, 70 % (n = 28) were male. The symptoms at admission included repeated chest infections (40 %), dyspnea (30 %), vomiting (22 %), and abdominal pain (22 %). No difference was found between groups in terms of age, gender symptomatology, or associated anomalies. The operation time was shorter in group 2 compared to group 1 (p < 0.05; 25 min vs 40 min). Although there was one recurrence in Group 1, no recurrence was reported in Group 2. The recurrence incidence did not differ between groups (p > 0.05). Conclusions: Cystoscope-assisted repair of Morgagni hernia was found to be superior in terms of safety and shorter operation time. Level of evidence: Type III. Type of the study: Retrospective study.eninfo:eu-repo/semantics/closedAccessMinimal invasive surgeryMorgagni herniaPercutaneous repairArticle2-s2.0-8518236694010.1016/j.jpedsurg.2023.11.015Q1