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.
Keywords
Morgagni hernia - single-port laparoscopic PIRS - open
