Novel laparoscopic hernia of morgagni repair technique

Stone, Matthew L.; Julien, M; Dunnington, Gansevoort; Lau, Christine L.

doi:10.1016/j.jtcvs.2011.07.048

Cited by 10 publications

(6 citation statements)

References 4 publications

(10 reference statements)

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“…Of the 171 cases identified from 76 articles in the past decade (Tables 1-3), 13-81 the majority of reported MH repairs were attempted through minimally invasive techniques (31), including laparoscopy (30) and thoracoscopy (1), followed by open abdominal approaches (31) exclusively attempted via laparotomy (31), and finally...…”

Section: Resultsmentioning

confidence: 99%

Morgagni Hernia Repair: A Review

et al. 2018

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Anteromedial subcostosternal defects, also known as a diaphragmatic hernia of Morgagni (MH), allow potentially life-threatening herniation of the abdominal organs into the thorax. Constituting only a small fraction of all types of congenital diaphragmatic hernias, correct diagnosis of MH is often delayed, owing in large part to nonspecific associated respiratory and gastrointestinal complaints. Once identified, the primary management for both symptomatic and incidentally discovered asymptomatic cases of MH are surgical correction because the herniated contents present increasing risk for strangulation. Various thoracic and abdominal surgical approaches have been described without a clear consensus on preference for operative repair technique. In this article, the literature regarding management of MH within the past decade is reviewed, and an illustrative case of laparoscopic repair of a MH with novel reinforcement using a Falciform ligament onlay flap is presented.

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Section: Resultsmentioning

confidence: 99%

Morgagni Hernia Repair: A Review

et al. 2018

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“…Repair of DH post-esophagectomy can be technically challenging and only 2 authors have published their recurrence rates [4,10,22,23]. One (20 %) of our five DH repairs recurred.…”

Section: Discussionmentioning

confidence: 96%

“…In our literature search, the mean published incidence was 2.6 % post-esophagectomy [2][3][4][5][6][7][10][11][12][13][14]. The true incidence is likely underestimated due to the limited long-term survival occurring in the esophageal cancer patient population [16,22]. Additionally, some publications, such as Price et al [10], report incidence only as cases requiring surgical intervention which is predicted to be much less than the true incidence.…”

Section: Discussionmentioning

confidence: 99%

Diaphragmatic hernia post-minimally invasive esophagectomy: a discussion and review of literature

Benjamin

Ashfaq

Chang

et al. 2015

Hernia

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“…Herniation through the right sternocostal triangle happens in the overwhelming majority of patients (90%), left-sided and bilateral lesions are far less frequent, constituting 8% and 2%, respectively. [ 2 3 4 24 25 26 ] In our series, we observed 5 right-sided hernias and 1 left-sided CDHM.…”

Section: Discussionmentioning

confidence: 69%

Congenital retrosternal hernias of Morgagni: Manifestation and treatment in children

Slepov¹,

Kurinnyi²,

Ponomarenko³

et al. 2016

Afr J Paediatr Surg

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Background:Due to scarcity of congenital diaphragmatic hearnias of Morgagni (CDHM), non-specific clinical presentation in the pediatric age group, we aimed to investigate the incidence, clinical manifestations, anatomical characteristics, and develop diagnostic algorithm and treatment of CDHM in children.Materials and Methods:The patients’ records of children with CDHM treated in our hospital during past 20 years were retrospectively reviewed for the age at diagnosis, gender, clinical findings, anatomical features, operative details and outcome.Results:Since 1995 to 2014 we observed 6 (3 boys, 3 girls) patients with CDHM, that comprise 3.2% of all congenital diaphragmatic hernia cases (n = 185). Age at diagnosis varied from 3 mo. to 10y.o. Failure to thrive was main symptom in 4 patients, followed by recurrent respiratory infections (n = 3), dyspnea (n = 3), and gastrointestinal manifestations: constipation (n = 2), abdominal pain (n = 1). Work-up consisted of plain X-ray for all (n = 6), upper GI (n = 3), barium enema (n = 2), sonography (n = 6) and CT (n = 2). Abdominal approach used in 5 patients, and thoracotomy in one. Herniated contents were: liver lobes (n = 4), transverse colon (n = 3) and greater omentum (n = 1). 5 had right-sided lesion, 1- left-sided. Defect repaired using local tissues. Post-operative course was uneventful; all patients appeared well during follow-up.Conclusion:CDHM is very uncommon anomaly, very occasionally diagnosed at the early age. Failure to thrive and recurrent respiratory infections are most frequent clinical manifestations. In suspected CDHM we advocate the following work-up: plain chest and abdominal X-ray, contrast study (upper GI series or barium enema), ultrasonographic screen and CT scan. Surgical repair via abdominal approach, using local tissues and hernia sac removal is preferred.

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Novel laparoscopic hernia of morgagni repair technique

Cited by 10 publications

References 4 publications

Morgagni Hernia Repair: A Review

Morgagni Hernia Repair: A Review

Diaphragmatic hernia post-minimally invasive esophagectomy: a discussion and review of literature

Congenital retrosternal hernias of Morgagni: Manifestation and treatment in children

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