Laparoscopic repair of Morgagni′s hernia: An innovative approach

Shah, Rasik; Sharma, Pradeep; Bhandarkar, Deepraj S.

doi:10.4103/0971-9261.151547

Cited by 23 publications

(37 citation statements)

References 9 publications

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“…This would indicate that additional mechanisms acquired by an adult age are necessary to increase intra-abdominal pressure (obesity, pregnancy, ascites, chronic constipation, paralytic ileus, injury, etc.) to cause the visceral hernia that leads to symptomatic presentation [1,3,4].…”

Section: Discussionmentioning

confidence: 99%

“…Some authors recommend it both in symptomatic and asymptomatic [1,3] cases, due to the risk of incarceration. The most indicated approach, both in laparotomy and in laparoscopic surgery, is abdominal, as this allows the reduction of the contents of the hernia sac and repair of the defect, as well as the performance of diverse techniques of intestinal resection for the ischemia of abdominal viscera.…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…The latter represents 2-4%, and is predominantly on the right side [1][2][3]. It is usually diagnosed incidentally while performing medical imaging for something else.…”

Section: Introductionmentioning

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%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The latter represents 2-4%, and is predominantly on the right side [1][2][3]. It is usually diagnosed incidentally while performing medical imaging for something else.…”

Section: Introductionmentioning

confidence: 99%

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Intestinal Obstruction Complicated by Large Morgagni Hernia

Martin¹

2017

Arch Surg Clin Res

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“…It allows accurate assessment of anatomic relationships of organs in hernial sac and diaphragmatic gap [17][18][19][20] . Laparoscopic approach for solving Morgagni hernia is reasonable and better than classic abdominal or thoracic approach [20][21][22][23][24][25][26] .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of Morgagni Hernia: Report of Three Cases

Soldo

2017

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SUMMARY -We report on three cases of diaphragmatic (Morgagni) hernia with diff erent clinical presentation. It is important to consider the possibility of this rare but potentially very dangerous condition in patients with respiratory problems and pain in the upper abdomen. Before laparoscopy, two diff erent approaches were used in diaphragmatic hernia operations (abdominal and thoracic approach). Laparoscopy has brought signifi cant changes in the treatment of diaphragmatic hernia. It is important to stress that laparoscopic diaphragmatic surgical therapy uses stronger mesh than the mesh used to repair an inguinal hernia.

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