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Hernia

, Volume 18, Issue 3, pp 357–360 | Cite as

Single-incision pediatric endosurgical epigastric hernia repair

  • A. A. Babsail
  • J. S. Abelson
  • D. Liska
  • O. J. Muensterer
Original Article

Abstract

Purpose

Epigastric hernias represent about 4 % of all abdominal hernias in children and require surgical repair. Traditionally, these hernias are repaired by an open surgical technique. More recently, laparoscopic epigastric hernia repairs have been described using two trocars in the upper abdomen. In this paper, we describe a novel single-incision pediatric endosurgical (SIPES) technique.

Methods

Patients with symptomatic epigastric hernias that were deemed to be too far superior to be repaired with an open technique through an umbilical incision were selected for SIPES repair. Two trocars (5 and 3 mm) were introduced through a single umbilical incision and the hernia repair was performed using looped 4-0 polypropylene sutures introduced through a 17-gage spinal needle in a lasso technique.

Results

Five girls (age 4.4–12.6, median 6.4 years) underwent single-incision endosurgical epigastric hernia repair. The mean operative time was 25 ± 6 min, and there were no intraoperative complications. All patients were discharged home from the recovery room on the day of surgery. All patients were followed up 2–3 weeks after the operation, with no recurrence and excellent cosmetic results.

Conclusions

The described SIPES technique offers a virtually scarless, quick, and simple option for the repair of symptomatic epigastric hernias that can be performed with standard laparoscopic equipment.

Keywords

Epigastric hernia Laparoscopy Single incision 

Notes

Conflict of interest

AB declares no conflict of interest. JA declares no conflict of interest. DL declares no conflict of interest. OM declares conflict of interest not directly related to the submitted work (he received funding from KARL STORZ Endoscopy-America, Inc. for an unrelated study).

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Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  • A. A. Babsail
    • 1
  • J. S. Abelson
    • 1
  • D. Liska
    • 1
  • O. J. Muensterer
    • 1
    • 2
  1. 1.Division of Pediatric Surgery, Weill Cornell Medical CollegeNew York PresbyterianNew YorkUSA
  2. 2.Division of Pediatric Surgery, New York Medical CollegeMaria Fareri Children’s HospitalValhallaUSA

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