2006
DOI: 10.1007/s00464-006-9017-7
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Transthoracic repair of Morgagni’s hernia

Abstract: We believe that the transthoracic approach is a safe and effective method for repairing Morgagni's hernia. The videothoracoscopic approach is a promising alternative and it may be facilitated by introducing a hand inside the chest.

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Cited by 35 publications
(16 citation statements)
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“…Furthermore, trans-abdominal approaches allow for exclusion of hernia-associated intraabdominal pathologies or complications like strangulation and perforation [6,10]. Besides that, some authors advocate a transthoracic approach by providing better overview during dissection of the hernia sac from mediastinal, pleural and pulmonary structures [4,12]. Nevertheless, minimally-invasive trans-abdominal surgery by laparoscopy had been shown as being sufficient by providing good functional results, safe and feasible in hiatal hernia repair and, therefore, can be transferred to retrocostoxiphoid diaphragmatic hernia repair [13][14][15].…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, trans-abdominal approaches allow for exclusion of hernia-associated intraabdominal pathologies or complications like strangulation and perforation [6,10]. Besides that, some authors advocate a transthoracic approach by providing better overview during dissection of the hernia sac from mediastinal, pleural and pulmonary structures [4,12]. Nevertheless, minimally-invasive trans-abdominal surgery by laparoscopy had been shown as being sufficient by providing good functional results, safe and feasible in hiatal hernia repair and, therefore, can be transferred to retrocostoxiphoid diaphragmatic hernia repair [13][14][15].…”
Section: Discussionmentioning
confidence: 99%
“…The diaphragmatic defects sometimes do not have sufficient margin for reapproximation directly. Several surgeons reported using artificial material for closing large defect [13, 14]. In our case, the diaphragmatic defect was small (3 cm × 4 cm in size), so we perform primary closure of the diaphragmatic defect by thoracoscopic surgery alone, and we didn’t apply a mesh to reinforce the diaphragm.…”
Section: Discussionmentioning
confidence: 95%
“…Существует разница в оценках относительно преимуществ того или иного хирургического доступа при коррекции грыж слабых анатомических зон диафрагмы. Ряд авторов предпочитают трансторакальный [9,19,39,46,67] или трансабдоминальный [6,15,51,59,79] доступ, другие отстаивают эндоскопические вмешательства [24,36,60]. Трансабдоминальный доступ предпочтителен для большинства хирургов.…”
Section: Discussionunclassified
“…[48] при двустороннем метастатическом поражении легких. V. Ambrogi [9], обобщая 20-летний опыт использования трансторакального доступа, указывает на использование в последние годы торакоскопического доступа с ручной поддержкой из трансксифоидального доступа.…”
Section: Discussionunclassified