Single-incision laparoscopic approach for linea alba hernia in children

• Main Authors: Zhang Jun, Jia Na, Chen Zhen, Yang Xuan, Wei Yan-Dong, Liu Shu-Li, Li Long
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: Children; epigastric hernia; hernia of linea alba; single incision laparoscopic approach
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2019;volume=15;issue=1;spage=42;epage=45;aulast=Jun
• ISSN: 0972-9941; 1998-3921

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.