Laparoscopic approach in the treatment of Morgagni hernia

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.

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Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures

BMJ Case Reports ◽

10.1136/bcr-2018-227600 ◽

2019 ◽

Vol 12 (1) ◽

pp. e227600 ◽

Cited By ~ 1

Author(s):

Carlos Costa Almeida ◽

Teresa Vieira Caroço ◽

Oriana Nogueira ◽

Armando Infuli

Keyword(s):

Laparoscopic Repair ◽

Gold Standard ◽

Minimal Invasive Surgery ◽

Surgical Repair ◽

Minimal Invasive ◽

Morgagni Hernia ◽

Absorbable Sutures ◽

The Times ◽

Simple Repair

Morgagni hernia is a congenital diaphragmatic hernia. It is rare, usually asymptomatic, and most of the times incidentally discovered during adulthood. A 77-year-old female patient was incidentally diagnosed with Morgagni hernia. Meanwhile, because of abdominal pain she resorted to the emergency department. A CT scan was performed. A laparoscopic repair with extra-abdominal transfascial sutures was conducted. At 3-month follow-up, the patient is asymptomatic. Surgical repair of Morgagni hernia is always indicated because of the risk of strangulation of hernia contents. Minimal invasive surgery is the gold standard, and laparoscopy is the preferred approach. Morgagni hernia does not have an anterior rim, which makes it technically difficult to close the defect. Extra-abdominal transfascial technique was used to repair the defect, eliminating the need for intracorporeal sutures. For small defects, simple repair with non-absorbable sutures using extra-abdominal transfascial technique is easy and efficient.

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VP021 A WAY TO TREAT SPIGELIAN HERNIA

British Journal of Surgery ◽

10.1093/bjs/znab395.157 ◽

2021 ◽

Vol 108 (Supplement_8) ◽

Author(s):

Bruno Barbosa ◽

Raquel Pereira ◽

Cesar Prudente ◽

Maria Joao Diogo ◽

Carlos Casimiro ◽

...

Keyword(s):

Hospital Stay ◽

Laparoscopic Repair ◽

Surgical Repair ◽

Laparoscopic Approach ◽

Spigelian Hernia ◽

Laparoscopic Technique ◽

Open Surgical Repair ◽

Intraperitoneal Route ◽

Abdominal Hernias

Abstract Aim “Spigelian hernia is uncommon and accounts for only 0.12–2% of all abdominal hernias. It is mandatory to perform surgical correction and in recent years the laparoscopic approach is gaining ground. The authors pretend to demonstrate a video of an outpatient laparoscopic repair of Spigelian hernia.” Material and Methods “53-year-old woman with a left Spigelian hernia referred to laparoscopic repair via intraperitoneal approach.” Results “The patient was submitted to laparoscopic correction with a Ventralex® mesh. The surgery went without any complication and under 30 minutes. A few hours after the surgery, the patient was discharged. In the follow-up appointment, the patient had no complaints or evidence of recurrence.” Conclusions “Spigelian hernias are rare and have a mandatory surgical indication. Traditionally, open surgical repair is most commonly used. However, laparoscopic approach is becoming increasingly popular since it allows faster recovery, shorter hospital stay, and less pain, with no commitment to recurrence. Currently, there are no studies that demonstrate the superiority of a laparoscopic technique (intraperitoneal, TAPP or TEP). The intraperitoneal route is a simple, faster, and easily reproducible approach.”

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LAPAROSCOPIC REPAIR OF MORGAGNI HERNIA – A PROSPECTIVE SINGLECENTER EXPERIENCE

10.36106/6713027 ◽

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.

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Surgery for Perforated Peptic Ulcer: Is Laparoscopy a New Paradigm?

Minimally Invasive Surgery ◽

10.1155/2021/8828091 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

André Pereira ◽

Hugo Santos Sousa ◽

Diana Gonçalves ◽

Eduardo Lima da Costa ◽

André Costa Pinho ◽

...

Keyword(s):

Peptic Ulcer ◽

Hospital Stay ◽

Laparoscopic Repair ◽

Laparoscopic Approach ◽

Oral Intake ◽

Length Of Hospital Stay ◽

Perforated Peptic Ulcer ◽

Open Group ◽

New Paradigm ◽

Female Ratio

Introduction. Laparoscopic repair of perforated peptic ulcer (PPU) remains controversial mainly due to its safety and applicability in critically ill patients. The aim of this study is to compare the outcomes of laparoscopy versus laparotomy in the treatment of PPU. Methods. Single-institutional, retrospective study of all patients submitted to surgical repair of PPU between 2012 and 2019. Results. During the study period, 169 patients underwent emergent surgery for PPU. A laparoscopic approach was tried in 60 patients and completely performed in 49 of them (conversion rate 18.3%). The open group was composed of 120 patients (included 11 conversions). Comparing the laparoscopic with the open group, there were significant differences in gender (male/female ratio 7.2/1 versus 2.2/1, respectively; p = 0.009 ) and in the presence of sepsis criteria (12.2% versus 38.3%, respectively; p = 0.001 ), while the Boey score showed no differences between the two groups. The operative time was longer in the laparoscopic group (median 100’ versus 80’, p = 0.01 ). Laparoscopy was associated with few early postoperative complications (18.4% versus 41.7%, p = 0.004 ), mortality (2.0% versus 14.2%; p = 0.02 ), shorter hospital stay (median 6 versus 7 days, p = 0.001 ), and earlier oral intake (median 3 versus 4 days, p = 0.021 ). Conclusion. Laparoscopic repair of PPU may be considered the procedure of choice in patients without sepsis criteria if expertise and resources are available. This kind of approach is associated with a shorter length of hospital stay and earlier oral intake. In patients with sepsis criteria, more data are required to access the safety of laparoscopy in the treatment of PPU.

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A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

International Surgery Journal ◽

10.18203/2349-2902.isj20171017 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1244

Author(s):

Sudarshan P. B. ◽

Sundaravadanan B. S. ◽

Prabu Shankar S.

Keyword(s):

Inguinal Hernia ◽

Retrospective Study ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Laparoscopic Repair ◽

Laparoscopic Approach ◽

Bilateral Hernia ◽

Totally Extraperitoneal ◽

Transabdominal Preperitoneal ◽

Inguinal Hernias

Background: The two common procedures which are nowadays commonly performed for laparoscopic repair of inguinal hernia are transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) mesh repair. This retrospective study was aimed to compare these two, TAPP and TEP laparoscopic approaches for inguinal hernia repair in terms of various outcomes.Methods: In this retrospective study, we included 50 cases of inguinal hernia who underwent laparoscopic approach of inguinal hernia repair at Saveetha medical college and hospital between 2014 and 2016 for a duration of 3 years. Various parameters including the age, sex of patient, type of hernia, preoperative and post-operative complications, duration of hospital stay was analysed.Results: Of the 50 patients who underwent laparoscopic repair, 26 patients underwent TEP and 24 patients under went TAPP procedure. 31 cases were indirect inguinal hernias and 30 cases were direct inguinal hernias, totalling 61 hernia repairs, as 11 patients had bilateral hernia. One female inguinal hernia and 4 cases of recurrent hernia were operated by TAPP method. Postoperative complications like seroma formation; subcutaneous emphysema was seen in TEP group. Two cases of TEP were converted to TAPP and open lichenstein procedure. Postoperative pain was less in both the group. Patients who underwent TEP procedure spent less time in the hospital compared to those who underwent TAPP procedure.Conclusions: There is no major difference in the outcome after TEP and TAPP surgeries except for some minor complications and the results are comparable in both techniques TAPP and TEP. Both the procedures can be practiced according to surgeon’s familiarity of the procedure.

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Minimal Access Surgical Repair of Morgagni Hernia: The Fate of the Unresected Hernia Sac

Journal of Laparoendoscopic & Advanced Surgical Techniques ◽

10.1089/lap.2007.0438 ◽

2007 ◽

Vol 17 (6) ◽

pp. 833-836 ◽

Cited By ~ 7

Author(s):

Mevlit Korkmaz ◽

B. Haluk Güvenç ◽

Ufuk Senel

Keyword(s):

Surgical Repair ◽

Minimal Access ◽

Morgagni Hernia ◽

Hernia Sac

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The waiting game: laparoscopic repair of dual Morgagni and paraesophageal hernias in an elderly, infirm patient

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz225 ◽

2019 ◽

Vol 2019 (8) ◽

Cited By ~ 1

Author(s):

Ami P Patel ◽

Dorsa Samsami ◽

Chloe Lee ◽

Asif Lakha ◽

Eli D Ehrenpreis

Keyword(s):

Chest Pain ◽

Laparoscopic Repair ◽

Paraesophageal Hernia ◽

Surgical Repair ◽

Surgical Intervention ◽

Morgagni Hernia ◽

Severe Chest Pain ◽

Elderly Female ◽

Abdominal Organs ◽

Early Surgical Intervention

Abstract Morgagni hernias are congenital diaphragmatic disruptions that occur when intra-abdominal organs herniate posterior to the sternum. It is very rare to concomitantly diagnose a paraesophageal hernia (PEH) in a patient with a Morgagni hernia. Here, we describe an elderly female patient presenting with severe chest pain subsequently diagnosed with a non-strangulated Morgagni hernia as well as PEH. She underwent successful robotic laparoscopic surgical repair of the hernias with resolution of her symptoms. This case demonstrates the need for early surgical intervention of Morgagni hernias to prevent sequelae, such as strangulation, and the rising benefits of laparoscopic repairs in adult patients.

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Surgical Repair of Acute Gracilis Muscle Rupture in the Racing Greyhound

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1633125 ◽

1992 ◽

Vol 05 (01) ◽

pp. 18-21 ◽

Cited By ~ 3

Author(s):

R. Eaton-Wells

Keyword(s):

Retrospective Study ◽

Surgical Technique ◽

Surgical Repair ◽

Gracilis Muscle ◽

Back Muscle ◽

Suture Materials ◽

Muscle Rupture

A retrospective study of the surgical repair of 27 cases of acute gracilis muscle rupture ("dropped back muscle") in 23 racing greyhounds was conducted.All of the dogs suffered the injury while racing or training. Suture materials and surgical technique are described. The dogs ability to resume racing was assessed.

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