Abstract
Abstract Introduction: 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.1 Single-incision pediatric endosurgery (SIPES) has been described for virtually scarless inguinal hernia repair.2 In this video presented at IPEG's 22nd Annual Congress for Endosurgery in Children,3 we describe a corresponding novel SIPES technique for epigastric hernia repair. Materials and Methods: Patients with symptomatic epigastric hernias, which were deemed to be too far superior (4 to 7 cm) 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 a 30° 5 mm endoscope was introduced, directing the optical angle anterior toward the abdominal wall. After location of the ...
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