BACKGROUND: The recently introduced use of robotic surgery in minimally invasive surgery procedures facilitates several steps in the operative procedure. We report the first case of a robot-assisted laparoscopic repair of a Morgagni hernia using the da Vinci Surgical System from Intuitive Surgical (Sunnyvale, CA, USA) in a 7.8 kg 18-month-old child. METHODS: Four trocars were used to gain access to the abdomen. The robot-enhanced instruments were used to close the hernia defect with interrupted, absorbable sutures, using intracorporeal knot tying. RESULTS: The operation was completed laparoscopically without a patch. The total setup time for the robotic system was 35 minutes including draping. The operating time at the robotic console was 80 minutes. The child tolerated an oral intake the day after surgery and was discharged home on the third postoperative day. CONCLUSION: Robot-assisted laparoscopic Morgagni hernia repair is feasible in small children.
BACKGROUND: The recently introduced use of robotic surgery in minimally invasive surgery procedures facilitates several steps in the operative procedure. We report the first case of a robot-assisted laparoscopic repair of a Morgagni hernia using the da Vinci Surgical System from Intuitive Surgical (Sunnyvale, CA, USA) in a 7.8 kg 18-month-old child. METHODS: Four trocars were used to gain access to the abdomen. The robot-enhanced instruments were used to close the hernia defect with interrupted, absorbable sutures, using intracorporeal knot tying. RESULTS: The operation was completed laparoscopically without a patch. The total setup time for the robotic system was 35 minutes including draping. The operating time at the robotic console was 80 minutes. The child tolerated an oral intake the day after surgery and was discharged home on the third postoperative day. CONCLUSION: Robot-assisted laparoscopic Morgagni hernia repair is feasible in small children.
Authors: Alexandra Krauss; Thomas Neumuth; Robin Wachowiak; Bernd Donaubauer; Werner Korb; Oliver Burgert; Oliver J Muensterer Journal: Pediatr Surg Int Date: 2011-12-27 Impact factor: 1.827
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Authors: Marit Kayser; Thomas Franz Krebs; Ibrahim Alkatout; Timo Kayser; Katja Reischig; Jonas Baastrup; Andreas Meinzer; Katja Ulrich; Daniar Osmonov; Robert Bergholz Journal: Children (Basel) Date: 2022-02-03
Authors: Thomas F Krebs; Jan-Hendrik Egberts; Ulf Lorenzen; Martin F Krause; Katja Reischig; Roberts Meiksans; Jonas Baastrup; Andreas Meinzer; Ibrahim Alkatout; Gesa Cohrs; Henning Wieker; Annette Lüthje; Sarah Vieten; Gerhard Schultheiss; Robert Bergholz Journal: J Robot Surg Date: 2021-03-26