Laparoscopic and Single Incision Laparoscopic Repair of Morgagni Hernia in Adults

Overview

Journal Turk Gogus Kalp Damar Cerrahisi Derg

Specialty Cardiology & Vascular Diseases

Date 2022 Jan 31

PMID 35096449

Authors

Onder Altin

Selcuk Kaya

Ramazan Sari

Affiliations

Soon will be listed here.

Abstract

Background: In this study, we aimed to compare multiple versus single incision laparoscopic repair of Morgagni hernia in adults and to investigate effectiveness and feasibility of both techniques.

Methods: Between January 2011 and March 2018, a total of 15 patients (5 males, 10 females; median age: 58.6 years; range, 36 to 70 years) who underwent laparoscopic or single-incision laparoscopic repair of Morgagni hernia were retrospectively analyzed. Demographic and clinical characteristics of patients, perioperative data, and treatment outcomes were evaluated.

Results: The median follow-up was 38 (range, 11 to 84) months. Of the patients with Morgagni hernia, 12 were treated with laparoscopic and three were treated with single incision laparoscopic repair technique. Patient satisfaction was excellent for most of the patients in both groups. No recurrence was observed during follow-up.

Conclusion: Morgagni hernia is a very rare type of hernia in adults. Laparoscopic mesh-reinforced primary repair of Morgagni hernia should be one of the first choice in patients, particularly with large hernias that would cause tension on edges of the diaphragm when closed. Single incision laparoscopic repair of Morgagni hernia is also another laparoscopic option with high patient satisfaction.

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References

HARRINGTON S . Clinical manifestations and surgical treatment of congenital types of diaphragmatic hernia. Rev Gastroenterol. 1951; 18(4):243-56. View

Abraham V, Myla Y, Verghese S, Chandran B . Morgagni-larrey hernia- a review of 20 cases. Indian J Surg. 2013; 74(5):391-5. PMC: 3477412. DOI: 10.1007/s12262-012-0431-x. View

Dapri G, Himpens J, Hainaux B, Roman A, Stevens E, Capelluto E . Surgical technique and complications during laparoscopic repair of diaphragmatic hernias. Hernia. 2006; 11(2):179-83. DOI: 10.1007/s10029-006-0161-8. View

Aydin Y, Altuntas B, Ulas A, Daharli C, Eroglu A . Morgagni hernia: transabdominal or transthoracic approach?. Acta Chir Belg. 2014; 114(2):131-5. View

Kravetz A, Iddings D, Basson M, Kia M . The learning curve with single-port cholecystectomy. JSLS. 2009; 13(3):332-6. PMC: 3015986. View

Herman T, Siegel M . Bilateral congenital Morgagni hernias. J Perinatol. 2001; 21(5):343-4. DOI: 10.1038/sj.jp.7200077. View

Solomon D, Bell R, Duffy A, Roberts K . Single-port cholecystectomy: small scar, short learning curve. Surg Endosc. 2010; 24(12):2954-7. DOI: 10.1007/s00464-010-1070-6. View

Kurkcuoglu I, Eroglu A, Karaoglanoglu N, Polat P, Balik A, Tekinbas C . Diagnosis and surgical treatment of Morgagni hernia: report of three cases. Surg Today. 2003; 33(7):525-8. DOI: 10.1007/s10595-002-2522-z. View

Kilic D, Nadir A, Doner E, Kavukcu S, Akal M, Ozdemir N . Transthoracic approach in surgical management of Morgagni hernia. Eur J Cardiothorac Surg. 2001; 20(5):1016-9. DOI: 10.1016/s1010-7940(01)00934-4. View

10.

McBride C, Beasley S . Re: Laparoscopic repair of diaphragmatic Morgagni hernia in children: review of 3 cases. J Pediatr Surg. 2011; 46(7):1470. DOI: 10.1016/j.jpedsurg.2011.03.073. View

11.

Chang T . Laparoscopic treatment of Morgagni-Larrey hernia. W V Med J. 2004; 100(1):14-7. View

12.

Arikan S, Dogan M, Kocakusak A, Ersoz F, Sari S, Duzkoylu Y . Morgagni's Hernia: Analysis of 21 Patients with Our Clinical Experience in Diagnosis and Treatment. Indian J Surg. 2018; 80(3):239-244. PMC: 6014954. DOI: 10.1007/s12262-016-1580-0. View

13.

Horton J, Hofmann L, Hetz S . Presentation and management of Morgagni hernias in adults: a review of 298 cases. Surg Endosc. 2008; 22(6):1413-20. DOI: 10.1007/s00464-008-9754-x. View

14.

Orita M, OKINO M, Yamashita K, Morita N, Esato K . Laparoscopic repair of a diaphragmatic hernia through the foramen of morgagni. Surg Endosc. 1997; 11(6):668-70. DOI: 10.1007/s004649900418. View

15.

Akamine S, Kawahara K, Nakamura A, Takahashi T, Yamamoto S, Ayabe H . Successful utilization of a video-assisted thoracic approach to repair Morgagni's hernia: report of a case. Surg Today. 1995; 25(7):654-6. DOI: 10.1007/BF00311444. View

16.

Akbiyik F, Tiryaki T, Senel E, Mambet E, Livanelioglu Z, Atayurt H . Is hernial sac removal necessary? Retrospective evaluation of eight patients with Morgagni hernia in 5 years. Pediatr Surg Int. 2006; 22(10):825-7. DOI: 10.1007/s00383-006-1750-4. View

17.

Palanivelu C, Rangarajan M, Rajapandian S, Amar V, Parthasarathi R . Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study. Surg Endosc. 2009; 23(5):978-85. DOI: 10.1007/s00464-008-0294-1. View

18.

Aghajanzadeh M, Khadem S, Jahromi S, Gorabi H, Ebrahimi H, Amir Maafi A . Clinical presentation and operative repair of Morgagni hernia. Interact Cardiovasc Thorac Surg. 2012; 15(4):608-11. PMC: 3445348. DOI: 10.1093/icvts/ivs203. View

19.

Tsimoyiannis E, Tsimogiannis K, Pappas-Gogos G, Farantos C, Benetatos N, Mavridou P . Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc. 2010; 24(8):1842-8. DOI: 10.1007/s00464-010-0887-3. View

20.

Moreaux J . [Diaphragmatic hernias in adults]. Rev Prat. 1997; 47(3):277-81. View