A novel technique of robotic preperitoneal approach for Morgagni hernia repair

Author(s):  
Anna K. Gergen ◽  
John H. Frankel ◽  
Michael J. Weyant ◽  
Akshay Pratap
2019 ◽  
Author(s):  
Ali İhsan Anadolulu ◽  
Gonca Gerçel ◽  
Osman Hakan Kocaman

Abstract Background: We aimed to present our laparoscopic treatment experience in Morgagni hernia repair. Methods: The patients who underwent laparoscopic surgery with diagnosis of Morgagni hernia between 2016-2019 were evaluated retrospectively. Results: Their mean age at diagnosis was 4,1±2,6 years (1 year-13 years). All patients were male. The presenting complaints were respiratory tract infection in 3 patients and vomiting in 3. Two patients were diagnosed incidentally. Associated Down’s Syndrome was detected in 3 (38%) cases. The defect was left-sided in 7 (87.5%) patients and bilateral in 1 (12,5%). Omentum was herniated in 2 patients, colon and omentum were in 6 and colon, omentum and stomach were in one. All patients underwent primary repair extracorporeally by removing sutures from single incision, without removal of the hernia sac. There were no complications or recurrence in the mean 19,2±15,8 months (6-42 months) follow-up period Conclusion: Minimal invasive repair of MH is efficient and safe. It should be the first choice because of fast recovery and better cosmetic results. In this series, it was seen that leaving the hernia sac had no effect on early and late complications. Leaving the hernia sac may prevent potential complications due to unnecessary dissection.


2010 ◽  
Vol 6 (3) ◽  
pp. 86 ◽  
Author(s):  
Deborshi Sharma ◽  
Vikas Jindal ◽  
OmPrakash Pathania ◽  
Shaji Thomas

2020 ◽  
Vol 90 (5) ◽  
pp. 924-925
Author(s):  
Jeff B. Macemon ◽  
Damian J. Gimpel ◽  
Nand K. Kejriwal

2012 ◽  
Vol 22 (3) ◽  
pp. 276-279 ◽  
Author(s):  
Yury Kozlov ◽  
Vladimir Novogilov ◽  
Andrey Rasputin ◽  
Alexey Podkamenev ◽  
Pavel Krasnov ◽  
...  

2015 ◽  
Vol 21 (suppl_1) ◽  
pp. S76-S76
Author(s):  
Karen J. Dickinson ◽  
P.G. Rowse ◽  
S.D. Cassivi

2018 ◽  
Vol 10 (7) ◽  
pp. E555-E559 ◽  
Author(s):  
Dario Amore ◽  
Carlo Bergaminelli ◽  
Davide Di Natale ◽  
Dino Casazza ◽  
Roberto Scaramuzzi ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Oluwatobi O Onafowokan ◽  
Kiran Khosa ◽  
Hugo Bonatti

Background. Morgagni hernias are rare in adults and may be asymptomatic but, nevertheless, require surgical repair, with laparoscopy offering an excellent option. The colon dislodged into the chest through diaphragmatic hernias may be affected by various disorders, including malignancies. Case Report. A 70-year-old obese male presented with fatigue and shortness of breath. CT scan showed the right colon lodged in the chest through a Morgagni hernia. He was anaemic, and colonoscopy revealed a colon cancer. He underwent combined laparoscopic hernia repair with bioabsorbable mesh and right hemicolectomy. Recovery was uneventful, but the patient died 5 months later from chemotherapy-associated cardiac failure. Literature review revealed eight similar published cases, and including ours, there were seven Morgagni hernias, one traumatic hernia, and one Bochdalek hernia. Median age of the five men and four women was 66 (range 49-85) years. Surgical approach was thoracotomy (2), laparotomy (5), and laparoscopy (2). Conclusion. Outcome of the rare condition is determined by the course of the colon cancer. Hernia repair was successful in ours and all other published cases. A combined laparoscopic approach can be safely done.


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