Laparoscopic approach in the treatment of Morgagni hernia

Abstract

Background: In this study, we aimed to evaluate the efficacy and safety of primary laparoscopic repair of Morgagni hernia. Methods: In this retrospective study, a total of 12 patients (4 males, 8 females; mean age 56.5±14.9 years; range, 32 to 80 years) who underwent primary laparoscopic repair for Morgagni hernia between January 2014 and December 2019 were included. In all cases, the hernia sac was excised and the defect was repaired primarily with non-absorbable sutures. Results: All patients had excellent outcomes and were uneventfully discharged from the hospital after a mean length of hospital stay of 4.6±1.3 days (range, 3 to 7 days). No mortality, morbidity or recurrence were observed in any of the patients. Conclusion: The primary laparoscopic repair is an effective and safe approach to surgical repair for Morgagni hernia in experienced hands.

Laparoscopic and single incision laparoscopic repair of Morgagni hernia in adults

“…[ 3 ] McBride and Beasley[ 13 ] reported MHs more common in males in childhood, while these hernias were more common in females in adulthood. Ulas et al[ 7 ] found that incidence of female patients with MH was 66.6% and the mean age was 56.5±14.9 years in their study. In this study, we found similar results to Ulas et al's[ 7 ] study in terms of sex and age incidence.…”

“…Some authors recommend transthoracic,[ 4 ] while some others recommend transabdominal, thoracoscopic, and laparoscopic techniques. [ 5 - 7 ] With the advancement of technology, minimally invasive surgery has become widely used. Early discharge, less pain, and better results of recovery of minimally invasive surgery are the main advantages compared to open surgery.…”

“…Early discharge, less pain, and better results of recovery of minimally invasive surgery are the main advantages compared to open surgery. [ 7 ] Laparoscopic repair is the choice of the treatment for the majority of cases in the literature. [ 8 , 9 ] Advantages of laparoscopy are lower complication risk, early discharge from hospital,[ 7 ] direct visualization of hernia contents, particularly in emergency cases, easier reduction of hernia contents, less postoperative pain, and better cosmetic results.…”

“…[ 7 ] Laparoscopic repair is the choice of the treatment for the majority of cases in the literature. [ 8 , 9 ] Advantages of laparoscopy are lower complication risk, early discharge from hospital,[ 7 ] direct visualization of hernia contents, particularly in emergency cases, easier reduction of hernia contents, less postoperative pain, and better cosmetic results. [ 10 ] Disadvantages of laparoscopy are dissection of pleural adhesions and difficulty to retract liver and dense adhesions due to previous abdominal surgeries.…”

Perforated Appendicitis and Bowel Incarceration within Morgagni Hernia: A Case Report

“…In the current literature there is plenty of evidence about the safety of the laparoscopic approach. [14][15][16]. The defect is usually sutured directly and reinforced with mesh.…”