scholarly journals Laparoscopic Repair of Morgagni Hernia: Three-Case Presentation and the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Gholamali Godazandeh ◽  
Farzad Mokhtari-esbuie

Introduction. Morgagni hernia is a rare form of congenital diaphragmatic hernia.Case Presentation. We present three cases of Morgagni hernia with GI symptoms treated by laparoscopic surgery.Discussion. Hernial sac was excised in two cases and left in situ in one case. There was no recurrence in symptoms after 30 months from surgery.

2021 ◽  
pp. 36-38
Author(s):  
Ankur Akela ◽  
Prashant Kumar Singh

Morgagni hernia occurs after a congenital retrosternal diaphragmatic defect; it is a rare form of diaphragmatic hernia (1-3% of cases). In general, this pathology is diagnosed in children; in adults it is frequently discovered in emergency or incidentally. Methods: We prospectively evaluated a series of 6 patients admitted to department of surgery IGIMS. Results: Out of 6 patients the laparoscopic approach was used in all cases: one conversion was recorded due to the tight adherences of the herniated viscera (gastric, colon, epiplon). In 4 cases, the surgical cure of hernia was performed by suture and in 2 cases with prosthesis: dual mesh in one case and polypropylene mesh in another case. We did not register morbidity and the mean postoperative stay was 4 days (range 2-6 days). Conclusions: Hernia Morgagni betrays a rare pathology. The most common is asymptomatic but in complicated cases it is a cause of acute surgical abdomen. Surgical treatment is indicated even for asymptomatic cases due to serious complications Morgagni hernia may develop. The laparoscopic approach is ideal, as reduction of viscera in the abdomen is easy and the defect will be repaired by suturing or using a prosthesis, depending on its size.


2020 ◽  
Vol 99 (7) ◽  

Morgagni hernia is a rare form of diaphragmatic hernia. It is a congenital defect of the diaphragm, often asymptomatic in adulthood and thus usually found only incidentally. Its treatment is predominantly surgical. This article presents three case reports of patients operated in our department.


2021 ◽  
Vol 27 (1) ◽  
pp. 42-45
Author(s):  
Nur Shafinaz Rusli ◽  
Syed Abdul Khaliq Syed Abdul Hamid ◽  
Norhafiza Ab. Rahman ◽  
Azian Abd. Aziz ◽  
Ahmad Fadzil Abdullah

Congenital chest wall deformities occurred in roughly 1% of children and if asymptomatic are often overlooked and taken lightly. This results in a progressive deformity of the chest and delays in diagnosis of the underlying causes. Complications can also develop from the underlying condition. Chest wall deformities are associated with a number of syndromes and other anomalies including abnormalities of the diaphragm. Congenital Diaphragmatic Hernia (CDH) is one of the underlying causes of chest deformity. Congenital Morgagni Hernia (CMH) is a rare form of CDH and consists of 3-5% in all CDH. Many cases were delayed in diagnosis due to the subtle presentation or were incidental findings. The consequence of delay in diagnosis can lead to the onset of complications which carries morbidities and even mortality. We report a case of a child with missed diagnosis of a rare condition Morgagni Diaphragmatic Hernia presenting with chest deformity.


1930 ◽  
Vol 26 (3) ◽  
pp. 267-272
Author(s):  
A. I. Kondrashkin

Lifetime recognition of chronic diaphragmatic hernias is rare. According to Lachers statistics in 1880. In 276 cases, accurate intravital recognition of diaphragmatic hernias was decreed only once - Leich tens ter n'om. Later, the number of such cases increased significantly, but nevertheless, their correct recognition is still very rare. These are the cases: Ahlfeld'a, Kaufmann'a, Abe 1'ya, A. V. Bergmann'a, Strupler'a, Pluckler'a, Herz'a. Here, recognition was possible, for the most part, thanks to fluoroscopy. Wullstein says in this regard that the diagnosis of congenital diaphragmatic hernia was probably never made with certainty. Thus, the description of our case in connection with the observations of other authors known from the literature may be of certain interest.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Sanjay Kumar Saroj ◽  
Satendra Kumar ◽  
Yusuf Afaque ◽  
Abhishek Kumar Bhartia ◽  
Vishnu Kumar Bhartia

Background, Aims, and Objectives. Congenital diaphragmatic hernia typically presents in childhood but in adults is extremely rare entity. Surgery is indicated for symptomatic and asymptomatic patients who are fit for surgery. It can be done by laparotomy, thoracotomy, thoracoscopy, or laparoscopy. With the advent of minimal access techniques, the open surgical repair for this hernia has decreased and results are comparable with early recovery and less hospital stay. The aim of this study is to establish that laparoscopic repair of congenital diaphragmatic hernia is a safe and effective modality of surgical treatment.Materials and Methods.A retrospective study of laparoscopic diaphragmatic hernia repair done during May 2011 to Oct 2014. Totaln=13(M/F: 11/2) cases of confirmed diaphragmatic hernia on CT scan, 4 cases Bochdalek hernia (BH), 8 cases of left eventration of the diaphragm (ED), and one case of right-sided eventration of the diaphragm (ED) were included in the study. Largest defect found on the left side was 15 × 6 cm and on the right side it was 15 × 8 cm. Stomach, small intestine, transverse colon, and omentum were contents in the hernial sac. The contents were reduced with harmonic scalpel and thin sacs were usually excised. The eventration was plicated and hernial orifices were repaired with interrupted horizontal mattress sutures buttressed by Teflon pieces. A composite mesh was fixed with nonabsorbable tackers. All patients had good postoperative recovery and went home early with normal follow-up and were followed up for 2 years.Conclusion.The laparoscopic repair is a safe and effective modality of surgical treatment for congenital diaphragmatic hernia in experienced hands.


2020 ◽  
Vol 16 (1) ◽  
Author(s):  
G. Krishna Kumar ◽  
U. Mallikarjun ◽  
D. Reshma

Abstract Background Delayed presentation of congenital diaphragmatic hernia is an uncommon event. Occurrence of gastric volvulus with massive necrosis in this setting is unusual. In this difficult scenario, the surgeon is faced with the dilemma of conservation or resection. Case presentation A 1-year-old boy with vague gastrointestinal symptoms was found to have congenital diaphragmatic hernia with gastric volvulus, on imaging. The stomach showed massive necrosis secondary to volvulus, and after removal of the necrotic body of the stomach, the remnant was sutured together. Conclusion Congenital diaphragmatic hernia is difficult to diagnose in late presenters beyond the neonatal period due to lack of respiratory symptoms. Stomach salvage is feasible even in severe vascular compromise due to extensive collaterals.


2019 ◽  
Vol 7 (11) ◽  
pp. 1818-1820
Author(s):  
Danilo Coco ◽  
Silvana Leanza

BACKGROUND: Bochdalek hernia is a type of congenital diaphragmatic hernia (CDH), which more commonly affects children. Congenital left diaphragmatic hernias, such as Bochdalek, rarely occur in adults. Most such cases do not present any symptoms. CASE PRESENTATION: Here, we report the case of a 60-year-old male with a left-sided Bochdalek diaphragmatic hernia, who presented with abdominal pain and dyspnea. The patient was successfully treated by laparoscopic approach.CONCLUSION: The 60-year-old male patient had left-sided BH and was successfully cured by the laparoscopic approach.


2021 ◽  
Vol 1 (2) ◽  
Author(s):  
A. Mohamed ◽  
Shankar S ◽  
Abid Qazi

Background: Anterolateral defect of diaphragm is unusual and has been reported less than 5 times in literature. Case Presentation: We are reporting a case with typical initial presentation of a congenital diaphragmatic hernia. A chest x-ray raised suspicion of a cystic lesion or diaphragmatic eventration which was excluded by chest ultrasound. At operation he was found to have a localised and large anterolateral defect with a very thick sac which was plicated to bridge the diaphragmatic defect. Conclusion: A rare variant and should be differentiated from other variants using imaging.


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