Outpatient Laparoscopic Repair of a Morgagni Hernia

Yamaguchi, Seiji; Marshall, M. Blair

doi:10.1177/1553350612444170

Cited by 6 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

Morgagni Hernia Repair: A Review

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The only difficulty in sac resection was on the anterior side adjacent to the pericardium and the organ within, and it can be avoided by choosing a trans-thoracic approach. 15,17,19 Conclusion A laparoscopic approach referred to the method of choice in the management of adult diaphragmatic hernia of Morgagni. Unnecessary resection of hernial sac and tension free defect closure should be of one consideration.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Approach in Correction of Adult Diaphragmatic Morgagni Hernia

Mazni

Prabowo

2018

NRJS

View full text Add to dashboard Cite

Introduction. Adult diaphragmatic hernia of Morgagni is a very rare congenital anomaly. Therefore, to date there is no standard surgical techniques used in the management. Thus, a systematic review aimed to find the highest evidence in the management. Method. A systematic review conducted in accordance with PRISMA. Literature search proceeded on PubMed and ScienceDirect using keywords "diaphragmatic hernia of Morgagni in adult", and "treatment". These articles were reviewed and appraised for the study design used, enrolled samples, validation of results, etc. to find out the level of evidence. The analysis was focused on length of stay, the recurrence, and complications.Results. There were 15 articles reviewed. The transabdominal approach provides better exposure, short length of stays, and low complications. Laparoscopic has been used widely and replaces open surgery. The defect closure using mesh is indicated in large defect of ≥20 cm 2 . The hernial sac is unnecessary to resect, with no complication such as seroma or recurrence. Conclusion. A laparoscopic approach referred to the method of choice in the management of adult diaphragmatic hernia of Morgagni. Unnecessary resection of hernial sac and tension free defect closure should be of one consideration.

show abstract

“…Meanwhile, laparoscopic approach for MH indicated general benefits of minimally invasive surgery, including less postoperative pain, decreased complications and hospital stay (4), which is also simple and safe for elderly patients (8). Moreover, laparoscopic repair of MH could be even performed in an outpatient setting with excellent outcome (9). Additionally, hernia sac excision is not necessary (3), and the disadvantages of sac excision may include massive pneumomediastinum and potential injury to the lung, pericardium, or mediastinal structures (10).…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2016

View full text Add to dashboard Cite

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.

show abstract

Outpatient Laparoscopic Repair of a Morgagni Hernia

Abstract: Laparoscopic repair of this patient's Morgagni hernia could be safely performed in an outpatient setting with excellent outcome. This may be a feasible management option in future cases in a similar patient population.

Cited by 6 publications

References 7 publications

Morgagni Hernia Repair: A Review

Morgagni Hernia Repair: A Review

Laparoscopic Approach in Correction of Adult Diaphragmatic Morgagni Hernia

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

Contact Info

Product

Resources

About