Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child
Epigastric hernia with divarication of recti is uncommon in children, and the aetiology remains incompletely understood – as does the optimal management strategy – whether to repair epigastric hernia alone or both defects. We present an innovative technique utilising subcutaneous endoscopic surgery...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jmas.jmas_76_24 |
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| author | Suresh Kumar Thanneeru Reyaz Ahmad Chandrakala Singh Rajput Amit Gupta |
| author_facet | Suresh Kumar Thanneeru Reyaz Ahmad Chandrakala Singh Rajput Amit Gupta |
| author_sort | Suresh Kumar Thanneeru |
| collection | DOAJ |
| description | Epigastric hernia with divarication of recti is uncommon in children, and the aetiology remains incompletely understood – as does the optimal management strategy – whether to repair epigastric hernia alone or both defects. We present an innovative technique utilising subcutaneous endoscopic surgery to address both epigastric hernia and divarication in children. Our approach yields excellent cosmetic outcomes, avoids the need for a larger laparotomy scar and mitigates the risks associated with the transperitoneal laparoscopic approach. It is a viable option with all the advantages of minimally invasive surgery for repairing epigastric hernia and divarication of recti in symptomatic cases, particularly when the aetiology is uncertain and multiple defects are anticipated. Its use may be extrapolated to isolated diastasis recti as working in subcutaneous space involves lesser risk with excellent cosmesis. |
| format | Article |
| id | doaj-art-a2d30964dc514b3ea96040f550540cbf |
| institution | Kabale University |
| issn | 0972-9941 1998-3921 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj-art-a2d30964dc514b3ea96040f550540cbf2025-08-20T03:41:57ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212025-07-0121332632810.4103/jmas.jmas_76_24Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a childSuresh Kumar ThanneeruReyaz AhmadChandrakala Singh RajputAmit GuptaEpigastric hernia with divarication of recti is uncommon in children, and the aetiology remains incompletely understood – as does the optimal management strategy – whether to repair epigastric hernia alone or both defects. We present an innovative technique utilising subcutaneous endoscopic surgery to address both epigastric hernia and divarication in children. Our approach yields excellent cosmetic outcomes, avoids the need for a larger laparotomy scar and mitigates the risks associated with the transperitoneal laparoscopic approach. It is a viable option with all the advantages of minimally invasive surgery for repairing epigastric hernia and divarication of recti in symptomatic cases, particularly when the aetiology is uncertain and multiple defects are anticipated. Its use may be extrapolated to isolated diastasis recti as working in subcutaneous space involves lesser risk with excellent cosmesis.https://journals.lww.com/10.4103/jmas.jmas_76_24diastasis rectidivarication of rectiepigastric herniastealth surgerysubcutaneous endoscopic surgery |
| spellingShingle | Suresh Kumar Thanneeru Reyaz Ahmad Chandrakala Singh Rajput Amit Gupta Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child Journal of Minimal Access Surgery diastasis recti divarication of recti epigastric hernia stealth surgery subcutaneous endoscopic surgery |
| title | Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child |
| title_full | Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child |
| title_fullStr | Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child |
| title_full_unstemmed | Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child |
| title_short | Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child |
| title_sort | subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child |
| topic | diastasis recti divarication of recti epigastric hernia stealth surgery subcutaneous endoscopic surgery |
| url | https://journals.lww.com/10.4103/jmas.jmas_76_24 |
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