Comparison of Optical Forceps-Assisted Single-Port Laparoscopic PIRS and Open Surgery in Morgagni Hernia Repair

Abstract

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.

Comparison of Double-Port Laparoscopic-Assisted Extracorporeal Suture Technique and Open Surgical Repair in Morgagni Hernia

“…In our study, the mean defect sizes of both groups were close to each other (OS: 5 ± 1.7, LS: 5 ± 1.5), and these dimensions were consistent with the 3-11 cm reported in other studies [4,9]. Although it was reported in the literature that the groups that underwent laparoscopy were less costly than those that underwent open surgery, no statistically significant cost difference was observed between the groups in study (OS: 4.332 ± 2406 TL, LS: 4.208 ± 1950 TL) (p=0.99) [10]. We think that this is due to the inconsistent cost differences that have developed due to the rapidly changing exchange rates in our country.…”

“…The length of hospital stay of the patients was statistically significantly shorter in the LS (1.6 ± 0.9) group than in the OS group (2.8 ± 0.7), similar to the literature (p=0.027) [4,10,11]. Between 5-10% of postoperative complications have been reported in the literature [12].…”

“…The authors describe the singlepost repair performed the operation by placing 3 surgical instruments in a single post. Oztorun et al also introduced the optical forceps-assisted single-port laparoscopic PIRS repair technique to the literature [10]. The use of the laparoscopic double port extracorporeal suturing repair technique that we applied to our patients has not been found in the literature.…”