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J Minim Access Surg. 2019 Jan-Mar;15(1):42-45. doi: 10.4103/jmas.JMAS_211_17.

Single-incision laparoscopic approach for linea alba hernia in children.

Author information

1
Department of Pediatric Surgery, The Capital Institute of Pediatrics, Beijing, China.
2
Department of Cardiology, Beijing Hospital, Beijing, China.

Abstract

Objective:

The aim of this study is to describe the technique and to evaluate the outcome of single-incision laparoscopic (SILC) approach for linea alba hernia in children.

Materials and Methods:

A 2 cm vertical umbilical incision was made and stretched horizontally. A 5-mm trocar was inserted through middle port for the telescope. Another extra-long 5-mm 30° trocar was inserted through the lateral port, 5 mm beside the middle port. The extraperitoneal fat was removed, and the defect of linea alba was repaired after hernial sac was excised. The peritoneum was reconstructed with interrupted suture.

Results:

From May 2014 to May 2015, eight children with linea alba hernia underwent SILC. Pre-operative abdominal ultrasound showed the average diameter of hernia ring was 3.2 ± 0.7 cm. Mean operation time was 32.5 min (range = 30-45 min). Oral intake was resumed during anaesthesia recovery period. All could endure pain and discharge on the post-operative 12 h. There was no post-operative wound infection. The follow-up period was 1-12 months, no recurrence and other complications occurred.

Conclusions:

SILC approach for linea alba hernia is a safe and effective, minimally invasive new technology. The linea alba hernia could be repaired with a cosmetic outcome.

KEYWORDS:

Children; epigastric hernia; hernia of linea alba; single incision laparoscopic approach

PMID:
29483378
DOI:
10.4103/jmas.JMAS_211_17
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