Clinical presentation and operative repair of Morgagni hernia

Abstract

We conclude that preoperative diagnosis and early diagnosis of MH by using laparotomy and thoracotomy is useful for safe and effective repair. Also we suggest that resection of the hernia sac and insertion of a mesh are not necessary.

Multidetector Computed Tomography Diagnosis of Gastric Volvulus through the Foramen of Morgagni

“…Ligament laxity is an essential and constant factor to arise a GV (13,16). Some others predisposing factors are mentioned such as gastric repletion, repeated vomiting and factors that increase the abdominal pressure.…”

Non-intubated laparoscopic repair of giant Morgagni’s hernia for a young man

“…It was reported that mesh repair for MH could be performed via laparotomy, thoracotomy and thoracoabdominal approach, but mesh insertion was not always necessary for diaphragmatic hernia (3,4). On the contrary, a retrospective review indicated that MH recurrence was high after laparoscopic repair in patients without patch, and more frequent use of patch may be beneficial (5).…”

Laparoscopic repair of Morgagni hernia in the adults: Report of two cases

“…[4] It usually presents with severe pulmonary symptoms in the early neonatal period; however, it is rarely symptomatic in adults and is usually incidentally diagnosed. [5] Nevertheless, adult patients with MH can show symptoms such as dyspnea, cough, chest pain, constipation,and gastric or intestinal obstruction symptoms and any delay in diagnosis may lead to devastating results. [5][6][7] Regardless of the fact that the patient is either symptomatic or asymptomatic, MH requires a surgical treatment due to risks of obstruction or strangulation.…”

“…[5] Nevertheless, adult patients with MH can show symptoms such as dyspnea, cough, chest pain, constipation,and gastric or intestinal obstruction symptoms and any delay in diagnosis may lead to devastating results. [5][6][7] Regardless of the fact that the patient is either symptomatic or asymptomatic, MH requires a surgical treatment due to risks of obstruction or strangulation. [5] The surgical approach can be transthoracic which is usually suggested as the operative strategy in patients with previous abdominal operation.…”

“…[5][6][7] Regardless of the fact that the patient is either symptomatic or asymptomatic, MH requires a surgical treatment due to risks of obstruction or strangulation. [5] The surgical approach can be transthoracic which is usually suggested as the operative strategy in patients with previous abdominal operation. [8,9] Many authors have advocated abdominal approach all of which were performed with non-absorbable sutures and occasionally reinforced by prosthetic material.…”