LAPAROSCOPIC REPAIR OF MORGAGNI HERNIA – A PROSPECTIVE SINGLECENTER EXPERIENCE

2021 ◽  
pp. 36-38
Author(s):  
Ankur Akela ◽  
Prashant Kumar Singh
Keyword(s):  
Surgical Treatment ◽  
Diaphragmatic Hernia ◽  
Laparoscopic Repair ◽  
Polypropylene Mesh ◽  
Laparoscopic Approach ◽  
Morgagni Hernia ◽  
Rare Form ◽  
Surgical Cure ◽  
The Mean ◽  
Dual Mesh

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.

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
Keyword(s):  
Laparoscopic Surgery ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Laparoscopic Repair ◽  
Morgagni Hernia ◽  
Rare Form ◽  
Case Presentation ◽  
Hernial Sac ◽  
Gi Symptoms

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.

Morgagni hernia – case reports

2020 ◽  
Vol 99 (7) ◽  
Keyword(s):  
Diaphragmatic Hernia ◽  
Case Reports ◽  
Congenital Defect ◽  
Morgagni Hernia ◽  
Rare Form

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.

scholarly journals Laparoscopic Repair of a Diaphragmatic Hernia Associated with Radiofrequency Ablation for Hepatocellular Carcinoma: Lessons from a Case and the Review of the Literature

2014 ◽  
Vol 99 (4) ◽  
pp. 384-390 ◽  
Author(s):  
Ryohei Nomura ◽  
Hiromi Tokumura ◽  
Makoto Furihata
Keyword(s):  
Computed Tomography ◽  
Hepatocellular Carcinoma ◽  
Radiofrequency Ablation ◽  
Diaphragmatic Hernia ◽  
Laparoscopic Repair ◽  
Laparoscopic Approach ◽  
Review Of The Literature ◽  
Gastrografin Enema ◽  
History Of ◽  
Segment Viii

Abstract We describe the case of a patient with a diaphragmatic hernia associated with radiofrequency ablation for hepatocellular carcinoma who was successfully treated by laparoscopic surgery. A 62-year-old man with a long history of hepatitis C-induced liver cirrhosis was admitted to our institution because of recurrent postprandial periumbilical pain. Eight years earlier, he had undergone radiofrequency ablation for hepatocellular carcinoma at hepatic segment VIII. Computed tomography, gastrografin enema examination revealed transverse colon obstruction because of a diaphragmatic hernia. We diagnosed diaphragmatic hernia associated with the prior radiofrequency ablation treatment. The patient underwent laparoscopic repair of the diaphragmatic hernia. Though the patient experienced the recurrence once, relaparoscopic treatment has improved the patient's conditions. Thus, diaphragmatic hernia can develop as a complication of radiofrequency ablation treatment. A laparoscopic approach is safe, feasible, and minimally invasive, even in patients with cirrhosis who develop iatrogenic diaphragmatic hernia as a complication of radiofrequency ablation treatment.

scholarly journals Doctor, My Chest is Deformed…..

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
Keyword(s):  
Chest Wall ◽  
Diaphragmatic Hernia ◽  
Rare Condition ◽  
Morgagni Hernia ◽  
Rare Form ◽  
Delay In Diagnosis ◽  
Chest Deformity ◽  
Underlying Causes ◽  
Missed Diagnosis ◽  
Delays In Diagnosis

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.

scholarly journals Comparison between Laparoscopic and Open Repair of Umbilical and Paraumbilical Hernia: A Randomized Controlled Trial Study

2021 ◽  
pp. 127-135
Author(s):  
Arti Mitra ◽  
Unmed Chandak ◽  
Shiv Kumar Sahu ◽  
Yuvraj Pawaskar ◽  
Akanksha Waldia
Keyword(s):  
Laparoscopic Repair ◽  
Open Repair ◽  
Tertiary Care ◽  
Laparoscopic Approach ◽  
Laparoscopic Group ◽  
Open Group ◽  
Paraumbilical Hernia ◽  
Early Return ◽  
Open Mesh Repair ◽  
The Mean

Background: Laparoscopic repair of umbilical and paraumbilical hernia has largely replaced conventional (Open) repair. The purpose of the study was to compare the effectiveness of laparoscopic vs. open repair of umbilical & para umbilical hernia in a tertiary care government hospital. Methods: A total 50 patients of age >18 years diagnosed with umbilical and paraumbilical hernia who underwent laparoscopic and open hernia repair from May2018 to Nov 2020 were enrolled and divided into two groups of 25 patients in each. The patients were followed up in the post-operative period in the wards during daily rounds till the time of discharge; 1 and 6 months after discharge and yearly. Results: The mean age for open group was 44.24±7.68years while the mean age for laparoscopic group was 50.0±11.82years. Operative time was more in laparoscopic repair (81.68±18.37min) as compared to open (55.44±16.54min). Post-operative pain (VAS score) was greatest in the open group in comparison to lap group at 6 hr, 24 hr, day 8 and at 1month. Postoperative overall complication rate (Infection, seroma and recurrence) was 12% in the laparoscopic group and 28% in the open group. Recovery was faster with laparoscopic repair with a mean postoperative hospital stay of 3.28days as compared to 5.88days for open mesh repair. Patients treated with laparoscopic repair were early return to routine activity and work. Conclusion: The laparoscopic approach appears to be safe, effective and acceptable. It is a complex but very efficient method in experienced hands and it offered a significant advantage over open repair.

scholarly journals Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Sanjay Kumar Saroj ◽  
Satendra Kumar ◽  
Yusuf Afaque ◽  
Abhishek Kumar Bhartia ◽  
Vishnu Kumar Bhartia
Keyword(s):  
Surgical Treatment ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Laparoscopic Repair ◽  
Harmonic Scalpel ◽  
Postoperative Recovery ◽  
Early Recovery ◽  
Asymptomatic Patients ◽  
The Right

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.

scholarly journals Emergency Laparoscopic Repair of Giant Left Diaphragmatic Hernia following Minimally Invasive Esophagectomy: Description of a Case and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Enrico Erdas ◽  
Gian Luigi Canu ◽  
Luca Gordini ◽  
Paolo Mura ◽  
Giulia Laconi ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Diaphragmatic Hernia ◽  
Laparoscopic Repair ◽  
Minimally Invasive Esophagectomy ◽  
Laparoscopic Approach ◽  
Acute Setting ◽  
Invasive Esophagectomy ◽  
High Fraction ◽  
Invasive Techniques

Postoperative diaphragmatic hernia (PDH) is an increasingly reported complication of esophageal cancer surgery. PDH occurs more frequently when minimally invasive techniques are employed, but very little is known about its pathogenesis. Currently, no consensus exists concerning preventive measures and its management. A 71-year-old man underwent minimally invasive esophagectomy for esophageal cancer. Three months later, he developed a giant PDH, which was repaired by direct suture via laparoscopic approach. A hypertensive pneumothorax occurred during surgery. This complication was managed by the anaesthesiologist through a high fraction of inspired O2 and several recruitment manoeuvres. The patient remained free of hernia recurrence until he died of neoplastic cachexia 5 months later. Laparoscopic repair of PDH may be safe and effective even in the acute setting and in the case of massive herniation. However, surgeons and anaesthesiologists should be aware of the risk of intraoperative pneumothorax and be prepared to treat it promptly.

scholarly journals Laparoscopic approach in the treatment of Morgagni hernia

2020 ◽  
Vol 28 (3) ◽  
pp. 514-520
Author(s):  
Ali Bilal Ulaş
Keyword(s):  
Retrospective Study ◽  
Laparoscopic Repair ◽  
Surgical Repair ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Efficacy And Safety ◽  
Morgagni Hernia ◽  
Hernia Sac ◽  
Absorbable Sutures ◽  
Safe Approach

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.

Inguinal Hernia Repair

2007 ◽  
Vol 17 (7) ◽  
pp. 318-330 ◽  
Author(s):  
Martin Kurzer ◽  
Allan Kark ◽  
Tahir Hussain
Keyword(s):  
Inguinal Hernia ◽  
Surgical Treatment ◽  
Hernia Repair ◽  
Antibiotic Therapy ◽  
Royal College ◽  
Laparoscopic Repair ◽  
Polypropylene Mesh ◽  
Patient Discharge ◽  
Day Case ◽  
The Uk

In excess of 100,000 inguinal hernia repairs are performed in the UK each year (Devlin & Kingsnorth 1998). It is the most commonly performed general surgical procedure and is routinely undertaken in patients receiving local anaesthesia in the day case setting. The Royal College of Surgeons has recommended that >50% inguinal hernias are undertaken on day cases, although at present this figure is only 30% (RCSE 1993). This article defines hernias and describes the aetiology and surgical treatment of inguinal and femoral hernia. The differences between the traditional and laparoscopic repair of hernias are explored as well as the use of materials such as polypropylene mesh to enhance the repair. The need for thromboprophylaxis and antibiotic therapy are outlined together with patient discharge advice.

“Upside Down Stomach”: Rare Form of Diaphragmatic Hernia

1952 ◽  
Vol 21 (2) ◽  
pp. 300-303 ◽  
Author(s):  
Raymond A. Gagliardi
Keyword(s):  
Diaphragmatic Hernia ◽  
Rare Form
Sign in / Sign up

Export Citation Format

Share Document