Abstract
We report a case of laparoscopic repair of epigastric hernia using Lapa-Her-Closure^<TM>. The patient was a 4-year-old girl with an epigastric hernia. The orifice of the hernia was located at a midpoint between the xiphoid process and umbilicus, the size of the hernia was 1×1cm, and its content was preperitoneal fat. We completed direct suture of the fascial defect laparoscopically. Two 5-mm ports were used via the umbilicus for the laparoscope and the left lateral abdomen for the working port. The orifice of the hernia covered by the falciform ligament was identified laparoscopically. A Lapa-Her-Closure needle with a 2-0 Ethibond was passed through the right rectus muscle, the suture was placed in the abdominal cavity, only the needle was pulled back at the level of subcutaneous fat, then the needle was passed through left rectus muscle to pick up the above 2-0 Ethibond; thus the defect was sutured and the knot was made subcutaneously. A total of 7 sutures were put over the hernia defect at a distance of 2cm cranially and caudally. The post-operative course was uneventful. The procedure was safe, quick, simple, and cosmetically acceptable.
