The Laparoscopic Approach for Repair of Morgagni Hernias
Overview
Authors
Affiliations
Background And Objectives: Morgagni hernias are unusual congenital diaphragmatic hernias that are generally asymptomatic and discovered incidentally. Surgical treatment is indicated once the diagnosis is made. These hernias have traditionally been repaired by the open abdominal or thoracic approaches. We report a case of Morgagni hernia repaired successfully via the laparoscopic approach.
Methods And Results: The patient was noted to have a large anteromedial diaphragmatic hernia by chest radiograph and CT imaging. He underwent laparoscopy, during which the hernia was reduced and the defect repaired with mesh placement. We used intracorporeal suture placement to anchor the mesh. The patient recovered uneventfully after a short hospitalization.
Conclusions: The laparoscopic approach for repair of Morgagni hernias offers diagnostic advantages as well as the potential for reduced morbidity when compared to laparotomy. We report intracorporeal knot-tying for fixation of the mesh to be a secure and satisfactory means to achieve the laparoscopic repair.
Al Alawi S, Barkun A, Najmeh S World J Clin Cases. 2024; 12(14):2389-2395.
PMID: 38765745 PMC: 11099403. DOI: 10.12998/wjcc.v12.i14.2389.
Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper.
Giuffrida M, Perrone G, Abu-Zidan F, Agnoletti V, Ansaloni L, Baiocchi G World J Emerg Surg. 2023; 18(1):43.
PMID: 37496073 PMC: 10373334. DOI: 10.1186/s13017-023-00510-x.
Adereti C, Zahir J, Robinson E, Pursel J, Hamdallah I Cureus. 2023; 15(6):e39950.
PMID: 37416052 PMC: 10319596. DOI: 10.7759/cureus.39950.
Robotic repair of incarcerated morgagni hernia in an adult on the acute care surgery service.
Cubas R, Garcia M, Mukherjee K Rev Fac Cien Med Univ Nac Cordoba. 2021; 78(1):91-94.
PMID: 33787029 PMC: 8713381. DOI: 10.31053/1853.0605.v78.n1.28299.
Morgagni hernia repair in adult obese patient by hybrid robotic thoracic surgery.
Amore D, Bergaminelli C, Di Natale D, Casazza D, Scaramuzzi R, Curcio C J Thorac Dis. 2018; 10(7):E555-E559.
PMID: 30174933 PMC: 6106017. DOI: 10.21037/jtd.2018.06.35.