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Archives de pédiatrie
Volume 22, n° 12
pages 1272-1275 (décembre 2015)
Doi : 10.1016/j.arcped.2015.09.017
Received : 21 December 2014 ;  accepted : 21 September 2015
Percutaneous suturing technique and single-site umbilical laparoscopic repair of a Morgagni hernia: Review of three cases
Cure laparoscopique de la hernie de Morgagni par voie ombilicale unique et suture percutanée : à propos de 3 cas
 

M. Zouari a, , b , M. Jallouli a, b, M. Bendhaou a, b, H. Zitouni a, b, R. Mhiri a, b
a Department of Pediatric Surgery, Hedi Chaker Hospital, 3029 Sfax, Tunisia 
b School of medicine, University of Sfax, Sfax, Tunisia 

Corresponding author.
Summary

Morgagni hernias are uncommon, accounting for only 1–2% of all congenital diaphragmatic hernia. Minimally invasive surgery is today the gold standard treatment. We present a technique using percutaneous suturing and single-site umbilical laparoscopic repair of Morgagni hernia in three children. Recovery was uneventful in all three patients. There was no recurrence and the chest radiograph remained normal during the postoperative follow-up. The percutaneous suturing technique and single-site umbilical laparoscopic repair of a Morgagni hernia is an easy and effective alternative to standard laparoscopic repair.

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Résumé

Les hernies de Morgagni sont rares, représentant seulement 1–2 % des hernies diaphragmatiques congénitales. Leur traitement repose sur la chirurgie mini-invasive. Nous en présentons une technique originale de cure laparoscopique par voie d’abord unique ombilicale et suture percutanée, utilisée chez trois enfants. Les suites opératoires ont été simples chez les trois enfants et aucune récidive n’a été notée. En conclusion, cette technique représente une alternative simple et efficace à la réparation laparoscopique standard de la hernie de Morgagni.

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