The Laparoscopic Repair of a Morgagni Hernia in a Child

Abstract

A 12-year-old female presented with the abnormal findings on the chest PA. The chest CT revealed a retrosternal defect of the diaphragm and a fatty opacity in the pleural cavity, resulting in a diagnosis of Morgagni hernia. It was decided to undergo a laparoscopic surgery. The retrosternal defect of the diaphragm measuring 3.5 cm in diameter was found, through which a portion of the greater omentum and the fatty tissue connected with the falciform ligament were herniated into the pleural cavity. The greater omentum was pushed back into the peritoneal cavity and the fatty tissue connected with falciform ligament was excised. The mediastinal pleura was plicated and the defect of the diaphragm was repaired primarily. Immediately after the operation, the patient developed a right pneumothorax for which a chest tube was inserted. She was discharged at the post-operative third day without any further complications.

An Incidental Discovery of Morgagni Hernia in an Elderly Patient Presented with Chronic Dyspepsia

“…[14][15][16][17][18][19][20] The pres- The patient in the present case had no symptoms for almost 70 years, except the occasional abdominal discomfort.…”

Minimally Invasive Repair of Pediatric Morgagni Hernias Using Transfascial Sutures with Extracorporeal Knot Tying

“…Laituri et al 8 recommend laparoscopy because an anterior defect is easily seen with a laparoscopic view. This study, as well as multiple others [5][6][7]9,10,12 advocate the laparoscopic approach, and some investigators use extracorporeal knot tying as well. 6,10 Even with patch repair, laparoscopy is feasible, 8,17,18 especially if it will reduce the tension placed on the diaphragm and chest wall.…”

“…2 As noted, they are less common, tend to present later, and cause fewer respiratory symptoms than do Bochdalek hernias. Both the pediatric and adult literature have described various techniques for repairing Morgagni hernias including open repair, 2,3 laparoscopic, [4][5][6][7][8][9][10][11][12] thoracoscopic, 13 and robotic techniques 14,15 as well as repairs completed with prosthetic patches. 2,8,16,17 The purpose of this study is to review the minimally invasive techniques used to repair pediatric Morgagni hernias at our institution.…”