Laparoscopic Repair of Morgagni Hernia

Year 2015, Volume: 40 Number: Supplement 1, 71 - 74, 09.10.2015

İlker Arer Hakan Yabanoğlu Hüseyin Aytaç Kenan Çalışkan Nurkan Törer

https://doi.org/10.17826/cutf.60545

Abstract

Morgagni hernia is a congenital herniation of abdominal contents into the thoracic cavity through a retrosternal diaphragmatic defect and make up about 1 % - 5 % of all types of congenital diaphragmatic hernias. Surgical repair of Morgagni hernias is usually indicated when patients are symptomatic and have a high risk of strangulation or incarceration of the contained viscera. 71-year-old male patient admitted to emergency department with a 2-day history of abdominal pain, vomiting and obstipation. Laparoscopic repair for Morgagni hernia was performed. Laparoscopic repair for Morgagni hernia with mesh repair is secure, satisfactory and easily performed

Keywords

Morgagni hernia, laparoscopy, mesh

Laparoskopik Morgagni Hernisi Onarımı

Abstract

Morgagni hernisi, retrosternal diyafram defektinden toraks içine doğru karın içeriğinin doğumsal fıtığı olup tüm diyafram hernilerinin % 1-5’ini oluşturur. Morgagni hernisinin cerrahi onarımı genellikle semptomatikse ve strangülasyon veya inkarserasyon riski yüksekse gerekmektedir. 71 yaşında erkek hasta 2 günlük karın ağrısı, kusma ve obstipasyon nedeniyle Acil servise başvurdu. Laparoskopik Morgagni hernisi onarımı yapıldı. Morgagni hernisinin yama ile laparoskopik onarımı güvenli ve tatminkar olup, kolaylıkla uygulanabilmektedir.

Keywords

Morgagni Hernisi, Laparoskopi, Ağ

References

• Cullen ML, Klein MD, Philippart AI. Congenital diaphragmatic hernia. Surg Clin N Amer 1985;65:1135–8.
• Simson JNL, Eckstein HB. Congenital diaphragmatic hernia: a 20 year experience. Br J Surg 1985;72:733–6. In: Shields TW, Lo Cicero III J, Ponn RB, editors. General thoracic surgery, 5th ed. Philadelphia: Lippincott Wilkins; 2000. p. 647–66.
• Minnecci P, Deans K, Kim P, Mathisen D. Foramen of Morgagni hernia: changes in diagnosis and treatment. Annals of Thoracic Surgery. 2004; 77:1956–9. [PubMed: 15172245]
• Horton JD, Hofmann LJ, Hetz SP. Presentation and management of Morgagni hernias in adults: a review of 298 cases. Surgical Endoscopy. 2008; 22(6):1413–20. [PubMed: 18347869]
• Chen Y, Wykes J, Haveman JW, Apostolou C, Merrett ND Laparoscopic repair of Morgagni hernia: an interesting case and complication ANZ J Surg. 2013 Sep;83(9):688-9. doi: 10.1111/ans.12219.
• Tarim A, Nursal TZ, Yildirim S, Ezer A, Caliskan K, Törer N Laparoscopic repair of bilateral morgagni hernia. Surg Laparosc Endosc Percutan Tech. 2004 Apr;14(2):96-7.
• Comer TP, Claggett OT. Surgical treatment of the hernia of Morgagni. J Thorac Cardiovasc Surg. 1966;52:461–468.
• Nguyen T, Eubanks PJ, Nguyen D, Klein SR. The laparoscopic approach for repair of Morgagni hernias. JSLS 1998; 2: 85–8.
• van Niekerk ML Laparoscopic Morgagni hernia repair using single-site umbilical and full-thickness abdominal wall repair:technical report of two cases Afr J Paediatr Surg. 2013 Jan-Apr;10(1):55-7. doi: 10.4103/0189-6725.109401.
• SherigarJM, Dalal AD, Patel JR Laparoscopic repair of a Morgagni hernia J Minim Access Surg. 2005 Jun;1(2):76-8. doi: 10.4103/0972-9941.16532.
• Durak E, Gur S, Cokmez A, Atahan K, Zahtz E, Tarcan E Laparoscopic repair of Morgagni hernia Hernia. 2007 Jun;11(3):265-70. Epub 2006 Dec 20
• Ozmen V, Gün F, Polat C, Asoğlu O, Ozaçmak ID, Salman T Laparoscopic repair of a morgagni hernia in a child: a case report Surg Laparosc Endosc Percutan Tech. 2003 Apr;13(2):115-7.
• Orita M, Okino M, Yamashita N, et al. Laparoscopic repair of a diaphragmatic hernia through the foramen of Morgagni. Surg Endosc. 1997;11: 668–670.
• Kuster GGR, Kline LE, Garzo G. Diaphragmatic hernia through the foramen of Morgagni: Laparoscopic repair case report. J Laparoendosc Surg. 1992;2:93–100.