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. 2020 Jul 28;28(3):514-520.
doi: 10.5606/tgkdc.dergisi.2020.19209. eCollection 2020 Jul.

Laparoscopic approach in the treatment of Morgagni hernia

Ali Bilal Ulaş  1 , Yener Aydın  1 , Atilla Eroğlu  1
Affiliations

Laparoscopic approach in the treatment of Morgagni hernia

Ali Bilal Ulaş et al. Turk Gogus Kalp Damar Cerrahisi Derg. .

Abstract

Background: In this study, we aimed to evaluate the efficacy and safety of primary laparoscopic repair of Morgagni hernia.

Methods: In this retrospective study, a total of 12 patients (4 males, 8 females; mean age 56.5±14.9 years; range, 32 to 80 years) who underwent primary laparoscopic repair for Morgagni hernia between January 2014 and December 2019 were included. In all cases, the hernia sac was excised and the defect was repaired primarily with non-absorbable sutures.

Results: All patients had excellent outcomes and were uneventfully discharged from the hospital after a mean length of hospital stay of 4.6±1.3 days (range, 3 to 7 days). No mortality, morbidity or recurrence were observed in any of the patients.

Conclusion: The primary laparoscopic repair is an effective and safe approach to surgical repair for Morgagni hernia in experienced hands.

Keywords: Diaphragm; Morgagni hernia; laparoscopic approach.

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Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1. (a) The images showing a Morgagni hernia on chest X-ray and (b) computed tomography of a 77-year-old female patient. (c) The intraoperative images showing hernia colon, (d) herniation opening, and almost excised herniation sac.
Figure 2
Figure 2. (a) The images showing Morgagni hernia on chest X-ray and (b) computed tomography of a 75-year-old female patient. (c) The intraoperative images showing reduction of herniated organs and (d) primary closure of defect.
Figure 3
Figure 3. (a) The intraoperative images showing reduction of omentum, (b) internal view of thoracic cavity through hernia sac, (c) removal of hernia sac, (d) and hernia defect covered with primary interrupted sutures.
See this image and copyright information in PMC

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