Laparoscopic Morgagni Hernia Repair: How I Do It

Park, Adrian; Doyle, Courtney

doi:10.1007/s11605-014-2552-y

Cited by 32 publications

(37 citation statements)

References 15 publications

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“…As advantages, they offer a better view of the surgical ield, easy reduction of the hernia contents, the possibility of simple closing or the use of mesh, and the surgery is less aggressive, decreasing postoperative pain and the length of the hospital stay [2,3,7,8,9,11]. The post-operative complications described in the bibliography are: Atelectasis with serious respiratory insuf iciency, pneumothorax, pneumomediastinum, subcutaneous emphysema, CO2 embolism (in laparoscopic surgery techniques) and reappearance of the hernia, among others.…”

Section: Discussionmentioning

confidence: 99%

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Intestinal Obstruction Complicated by Large Morgagni Hernia

Martin¹

2017

Arch Surg Clin Res

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Morgagni hernia represents 2-4% of congenital diaphragmatic hernias. Only one-third of them are symptomatic, due to the hernia of abdominal viscera in the thoracic cavity, causing respiratory and digestive problems, some of them serious ones, such as intestinal obstruction. Acute presentation with incarceration of the contents is rare; there are only 7 cases described in the literature.We are presenting a case of diaphragmatic hernia that began with obstruction of the colon and secondary ischemia, requiring emergency surgery in two phases: fi rst surgery to control the damage, with an open right hemicolectomy, and then later surgery to repair the hernia and perform bowel transit reconstruction, with proper postoperative evolution and no evidence of relapse.The treatment of Morgagni diaphragmatic hernia is surgical. Also in asymptomatic cases, due to the risk of incarceration, the most appropriate way to enter is abdominally, whether by way of laparotomy or laparoscopy, for the reduction of the contents of the hernia sac, the repair of the defect, as well as the performing of associated techniques on herniated viscera, as occurred in our case.A complicated congenital hernia is an infrequent pathology, and there is little experience in handling it. Acute presentation requires a combined treatment of the abdominal symptoms and repair of the hernia defect. The carrying over of surgical techniques for damage control into non-traumatic surgery in the face of serious hemodynamic instability is a widespread, accepted practice with the benefi ts of reducing mortality in critical patients and at times allowing the avoidance of ostomies.

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Section: Discussionmentioning

confidence: 99%

“…Its treatment is surgical, and the classic approach is a laparotomy, and more rarely, thoracotomy, but in recent years, several procedures using laparoscopy or thoracoscopy [7][8][9], have been described. There is little experience because of the infrequency of the pathology.…”

Section: Introductionmentioning

confidence: 99%

Intestinal Obstruction Complicated by Large Morgagni Hernia

Martin¹

2017

Arch Surg Clin Res

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“…The abdominal approach can provide excellent exposure to allow full exploration of the hernia sac and bilateral diaphragm, provide easier access when narrowing the hernia defect, and allow for simultaneously performing other procedures such as fundoplication. 5,8) There are two common methods used to repair the MH defect. Some surgeons use plastic meshes to reach a tension-free repair.…”

Section: Discussionmentioning

confidence: 99%

“…Others prefer to narrow the hernia defect with nonabsorbable sutures directly as a safe and effective method. 7,8) Management of the hernia sac is controversial because the natural history of an unexcised hernia still remains unclear. Some surgeons think that removing the sac is not necessary and the risk of injuring thoracic structures due to intrathoracic adhesions is high, while others think resection of the sac is safe and adhere more strictly to classic surgical principles of hernia repair.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Laparoscopic Repair of Simultaneously Occurring Morgagni and Paraesophageal Hernias

Zhou

et al. 2016

ATCS

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Simultaneously occurring Morgagni hernia and paraesophageal hernia is an extremely rare clinical condition with only six case reports in the English-language literature and only two laparoscopic repair reports. We report a 73-year-old woman with both Morgagni hernia and paraesophageal hernia who underwent successful laparoscopic repair of the hernia defects using transabdominal wall suturing. The laparoscopic operation can provide excellent exposure and repair the hernia defect easily with minimal invasiveness and fewer complications. This case report reported the concurring Morgagni and paraesophageal hernias and validated the feasibility of laparoscopic repair both hernias simultaneously.

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“…It was reported that mesh repair for MH could be performed via laparotomy, thoracotomy and thoracoabdominal approach, but mesh insertion was not always necessary for diaphragmatic hernia (3,4). On the contrary, a retrospective review indicated that MH recurrence was high after laparoscopic repair in patients without patch, and more frequent use of patch may be beneficial (5).…”

Section: Discussionmentioning

confidence: 99%

Non-intubated laparoscopic repair of giant Morgagni’s hernia for a young man

et al. 2016

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An asymptomatic patient was admitted as his chest photograph and computed tomography scans showed a giant Morgagni's hernia (MH). And it was repaired by laparoscopic approach under epidural anesthesia without endotracheal intubation. The hernia content of omentum was repositioned back into the abdominal cavity, and the diaphragmatic defect was repaired with composite mesh. Which indicated that non-intubated laparoscopic mesh repair via epidural anesthesia is reliable and satisfactory for MH.

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Laparoscopic Morgagni Hernia Repair: How I Do It

Cited by 32 publications

References 15 publications

Intestinal Obstruction Complicated by Large Morgagni Hernia

Intestinal Obstruction Complicated by Large Morgagni Hernia

A Rare Case of Laparoscopic Repair of Simultaneously Occurring Morgagni and Paraesophageal Hernias

Non-intubated laparoscopic repair of giant Morgagni’s hernia for a young man

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