Pediatric Morgagni diaphragmatic hernia: a descriptive study

Golden, Jamie; Barry, Wesley E.; Jang, Gene E.; Nguyen, Nam X.; Bliss, David

doi:10.1007/s00383-017-4078-3

Cited by 26 publications

(9 citation statements)

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“…laparoscopic repairs in infant as small as one month old have been successfully performed by our group and reported by others [17,27], suggesting appropriate patient selection is the key to success. Traditionally in adult practice when open repair was performed for MH, both thoracotomy and laparotomy had produced equal results [6,50].…”

Section: Accepted Manuscriptmentioning

confidence: 53%

“…Our systematic review selected publications dated back to 1997, as MIS repair of MH was first reported by Georgacopulo et al that year [10]. MIS continues to be utilised for its advantages in recovery time, length of stay, and analgesia requirement compared to the open approach and more importantly laparoscopy in experienced centres produced less complication and equally good results [13,17]. Effective laparoscopic primary repair has been made possible with the development of various modifications with use of Endo Stitch (Covidien) for intracorporeal suturing [26], or application of extracorporeal knot-tying techniques with knots buried in the subcutaneous layer [25].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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Morgagni hernia repair in children over two decades: Institutional experience, systematic review, and meta-analysis of 296 patients

Tan

Banerjee

Cross

et al. 2018

Journal of Pediatric Surgery

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Section: Accepted Manuscriptmentioning

confidence: 53%

Section: Accepted Manuscriptmentioning

confidence: 99%

Morgagni hernia repair in children over two decades: Institutional experience, systematic review, and meta-analysis of 296 patients

Tan

Banerjee

Cross

et al. 2018

Journal of Pediatric Surgery

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“…Disease usually occurs in children, where statistics exceed 20 observations and chromosome abnormalities (15%). In 75% of cases, a congenital abnormality such as Down (5,6). Malformations are rarely found in adults (7).…”

Section: Discussionmentioning

confidence: 99%

“…The signs, also in the case of children, are respiratory (56.5%), gastrointestinal (19%), or combined (6.8%); The diagnosis is determined by chest x-ray, ultrasound, CT (6). Diagnosis can also be performed prenatally.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management in Morgagni Hernia - Short Series and Review of Literature

Târcoveanu¹,

Georgescu²,

Vasilescu³

et al. 2018

chr

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Morgagni hernia occurs after a congenital retrosternal diaphragmatic defect; it is a rare form of diaphragmatic hernia (1-3% of cases). In general, this pathology is diagnosed in children; in adults it is frequently discovered in emergency or incidentally. We prospectively evaluated a series of 8 patients admitted to First Surgical Clinic, St. Spiridon Hospital, Iasi during the period 2011-2017. Out of 8 patients, 6 were operated on, one patient refusing surgery (followed periodically); the patient who was 91 years old had serious associated diseases that made surgery contraindicated. Symptomatology was nonspecific: in 5 cases Morgagni hernia was discovered during the exploration of an associated pathology, either with cardiopulmonary symptoms of dyspnea or palpitations. In 2 cases, the clinical aspect suggested an occlusive syndrome (the herniated organ is usually the transverse colon). The laparoscopic approach was used in all cases: two conversions were recorded due to the tight adherences of the herniated viscera (gastric, colon, epiplon). In 4 cases, the surgical cure of hernia was performed by suture and in 2 cases with prosthesis: dual mesh in one case and polypropylene mesh in another case. We did not register morbidity and the mean postoperative stay was 4 days (range 2-6 days). Hernia Morgagni betrays a rare pathology. The most common is asymptomatic but in complicated cases it is a cause of acute surgical abdomen. Surgical treatment is indicated even for asymptomatic cases due to serious complications Morgagni hernia may develop. The laparoscopic approach is ideal, as reduction of viscera in the abdomen is easy and the defect will be repaired by suturing or using a prosthesis, depending on its size.

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“…Congenital Morgagni hernia is clinically unique as compared with other CDH, and chance appearance of an unknown mass on chest radiography for other conditions is possible, similar to that in the present case. 3,5 Ultrasonography is useful for detecting diaphragmatic defects in the neonatal period and early infancy.…”

mentioning

confidence: 99%

Unknown mass on chest radiography: Morgagni hernia identified on ultrasonography

Saima

Sato

Miyake

et al. 2018

Pediatrics International

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Pediatric Morgagni diaphragmatic hernia: a descriptive study

Abstract: In this series, congenital MH appears to have a male predominance, frequently presents with pulmonary symptoms, and has excellent outcomes regardless of operative approach.

Cited by 26 publications

References 20 publications

Morgagni hernia repair in children over two decades: Institutional experience, systematic review, and meta-analysis of 296 patients

Morgagni hernia repair in children over two decades: Institutional experience, systematic review, and meta-analysis of 296 patients

Laparoscopic Management in Morgagni Hernia - Short Series and Review of Literature

Unknown mass on chest radiography: Morgagni hernia identified on ultrasonography

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