Morgagni-Larrey Hernia- a Review of 20 Cases

Abraham, Vijay; Yacob, Myla; Verghese, Sam; Chandran, Biju

doi:10.1007/s12262-012-0431-x

Cited by 36 publications

(34 citation statements)

References 16 publications

(15 reference statements)

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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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Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of Morgagni Hernia: Report of Three Cases

Soldo

2017

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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%

“…It is usually diagnosed incidentally while performing medical imaging for something else. In symptomatic cases (which is only one-third of them), it is due to the hernia of the abdominal viscera inside the thoracic cavity, causing respiratory problems (dif iculty breathing, thoracic pain) or digestive ones (painful swallowing, re lux, abdominal pain, intestinal occlusion) [1,3,4]. However, acute presentation with incarceration is rare; only 7 cases are described in the literature [1,2,5,6].…”

Section: Introductionmentioning

confidence: 99%

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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“…[5] The surgical approach can be transthoracic which is usually suggested as the operative strategy in patients with previous abdominal operation. [8,9] Many authors have advocated abdominal approach all of which were performed with non-absorbable sutures and occasionally reinforced by prosthetic material. [9,10] In the era of minimally invasive surgery; thoracic video-assisted endoscopic surgery or laparoscopy have started to be used in the repair of congenital diaphragmatic hernias with superior functional outcomes, shorter operative and hospitalization days.…”

Section: Introductionmentioning

confidence: 99%

“…[8,9] Many authors have advocated abdominal approach all of which were performed with non-absorbable sutures and occasionally reinforced by prosthetic material. [9,10] In the era of minimally invasive surgery; thoracic video-assisted endoscopic surgery or laparoscopy have started to be used in the repair of congenital diaphragmatic hernias with superior functional outcomes, shorter operative and hospitalization days. [11,12] Two cases of elderly patients with mild gastrointestinal and pulmonary functions, who were diagnosed with MH, are reported in this study.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic repair of Morgagni hernia in the adults: Report of two cases

Özmen¹

2017

Laparosc Endosc Surg Sci

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Morgagni hernia is a congenital, retrosternally situated, diaphragmatic defect usually seen on the right, but which may also affect the left side. It is very rare in adulthood and old age. As result of developing techniques in laparoscopy, congenital diaphragmatic hernia can now be repaired with minimally invasive means. Presently described are cases of 2 elderly female patients with subtle abdominal symptoms incidentally diagnosed with Morgagni hernia after abdominal computed tomography scan. Both patients were operated on using minimally invasive approach and laparoscopic repair was performed with synthetic material reinforcement in both cases. Patients were discharged after uneventful postoperative period. In conclusion, laparoscopic repair can be performed safely in selected cases at centers experienced in advanced laparoscopy.

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Morgagni-Larrey Hernia- a Review of 20 Cases

Cited by 36 publications

References 16 publications

Laparoscopic Treatment of Morgagni Hernia: Report of Three Cases

Laparoscopic Treatment of Morgagni Hernia: Report of Three Cases

Intestinal Obstruction Complicated by Large Morgagni Hernia

Laparoscopic repair of Morgagni hernia in the adults: Report of two cases

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