Comparison of Double-Port Laparoscopic-Assisted Extracorporeal Suture Technique and Open Surgical Repair in Morgagni Hernia

Abstract

Background: We aimed to compare the results of open surgery and double-port laparoscopic-assisted extracorporeal suturing repair for the treatment of morgagni hernia (MH). Methods: Twenty-two patients with MH who were operated on in our clinic between January 2012 and January 2023 were included in the study. Patients were divided into two groups according to the surgical technique as open surgery (OS) (n=14) or laparoscopic surgery (LS) (n=8). Retrospective comparisons were made between the groups' demographic information, surgical method used, defect size, operation time, hospital stay length, cost, postoperative problems, and recurrence. Results: There were no statistically significant differences between the groups in terms of gender, defect size, and costs (p>0.05). The mean age of the patients in the LS group (101 ± 68.3 months) was significantly higher than that of the OS group (23 ± 18.2 months) (p=0.005). It was determined that the operation time of the LS group (33.8 ± 3.6) was significantly shorter than that of the OS group (50.8 ± 6.5) (p<0.01). Moreover, the LS group’s length of hospitalization (1.6 ± 0.9) was significantly lower than the OS group’s (2.8 ± 0.7) (p=0.027). Conclusion: Double-port laparoscopic-assisted extracorporeal suturing repair technique is a reliable technique that can be preferred over open surgical repairs due to its shorter operative time and hospital stay, ease of application, better cosmetic results, and no cost difference.