Morgagni Hernia in Children: Nine Cases and a Review of the Literature

Machmouchi, Mahmoud; Jaber, Nabil; Naamani, Jihad

doi:10.5144/0256-4947.2000.63

Cited by 8 publications

(9 citation statements)

References 11 publications

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“…Although trans-abdominal approach is universal in the treatment of Morgagni hernia, a group of adult heart and thorax surgeons preferred transthoracic approach to keep pericardium intact, since, preoperative computerized tomography showed hernial sac attached to pericardium [7]. Some surgeons, who think that the excising of sacs is not necessary, reported that complete resolution is seen in 4 months [8]. We did not note any pathological appearance in plain thorax radiography of our patients on the day of discharge (Figs.…”

Section: Resultsmentioning

confidence: 99%

Is hernial sac removal necessary? Retrospective evaluation of eight patients with Morgagni hernia in 5 years

Akbiyik¹,

Tiryaki²,

Şenel³

et al. 2006

Pediatr Surg Int

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Eight children with Morgagni hernia were operated between January 2000 and May 2005. Medical records of the patients were evaluated retrospectively. Ages of the patients were between 3.5 months and 9 years. The diaphragmatic defect was on the right in all patients except one. One patient had bilateral diapragmatic hernia. All of the patients were operated by abdominal approach. All patients had hernial sacs. During operation sac of hernia was everted to peritoneal space without removal and the defect was closed by using nonabsorbable material. There was no intraoperative complication. The patients were discharged on the sixth day in uneventful condition. There was no complication or recurrence during follow up. Excision of sac of hernia is recommended in majority. Most of the published studies favour the removal of hernial sac. In our practise, in the treatment of Morgagni hernia we did not remove the hernia sac during the last 5 years.

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Section: Resultsmentioning

confidence: 99%

Is hernial sac removal necessary? Retrospective evaluation of eight patients with Morgagni hernia in 5 years

Akbiyik¹,

Tiryaki²,

Şenel³

et al. 2006

Pediatr Surg Int

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“…Over a period of 18 years, we treated 20 cases of CMH. Surprisingly, a high frequency of CMH has been reported from Saudi Arabia [4,5,9]. The reason for this is not known.…”

Section: Discussionmentioning

confidence: 99%

“…Commonly it is diagnosed in children, but it can remain asymptomatic till adulthood to be discovered accidentally or cause acute gastrointestinal symptoms. In the pediatric age group, the presentation of CMH is variable and known to have a high incidence of associated anomalies [3][4][5]. It can be discovered as an incidental finding on routine chest x-ray or become symptomatic causing vague gastrointestinal or respiratory symptoms, but it can also cause severe respiratory symptoms especially during infancy [6].…”

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confidence: 99%

Congenital hernia of Morgagni in infants and children

Al-Salem

2007

Journal of Pediatric Surgery

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“…Chronic (2) Laparotomy (2) Machmouchi et al, 2000 24 9 Chronic (4) Laparotomy (9) Acute (2) Asymptomatic (3) Soylu et al, 2000 25 7…”

Section: Literature Reviewmentioning

confidence: 99%

Clinical presentation and operative repair of hernia of Morgagni

Loong

Kocher

2005

Postgraduate Medical Journal

141

155

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A 77 year old woman who presented with an incarcerated hernia of Morgagni was successfully treated without complications. A Medline search (1996 to date) along with cross referencing was done to quantify the number of acute presentations in adults compared to children. Different investigating modalities—for example, lateral chest and abdominal radiography, contrast studies or, in difficult cases, computed tomography or magnetic resonance imaging—can be used to diagnose hernia of Morgagni. The favoured method of repair—laparotomy or laparoscopy—is also discussed. A total of 47 case reports on children and 93 case reports on adults were found. Fourteen percent of children (seven out of 47) presented acutely compared with 12% of adults (12 out of 93). Repair at laparotomy was the method of choice but if uncertain, laparoscopy would be a useful diagnostic tool before attempted repair. Laparoscopic repair was favoured in adults especially in non-acute cases.

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Morgagni Hernia in Children: Nine Cases and a Review of the Literature

Cited by 8 publications

References 11 publications

Is hernial sac removal necessary? Retrospective evaluation of eight patients with Morgagni hernia in 5 years

Is hernial sac removal necessary? Retrospective evaluation of eight patients with Morgagni hernia in 5 years

Congenital hernia of Morgagni in infants and children

Clinical presentation and operative repair of hernia of Morgagni

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