Laparoscopic repair of Morgagni diaphragmatic hernia

Tong, Raymond; Jacobs, Rod; McLaughlin, Steve

doi:10.1111/j.1744-1633.2006.00319.x

Cited by 8 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To avoid tension, Thoman et al [10] recommend using prosthetic mesh to cover defects larger than 20-30 cm 2 . Others recommend using mesh repairs in all cases except those involving neonates [88]. Several different types of materials have been used: polypropylene, expanded polytetrafluoroethylene (ePTFE) (dual mesh; Gore Medical, Flagstaff, AZ, USA), Vypro (Vypro II, Ethicon Endosurgery, Cincinnati, OH, USA), Composix (C. R. Bard, Inc, NJ, USA), bovine pericardium (Tutopatch; Tutogen Medical, Neunkirchen, Bavaria, DE, USA), and Parietex (Parietex Composite; Sofradim, Trevoux, France), to name a few [29,68,[89][90][91][92].…”

Section: Discussionmentioning

confidence: 98%

Presentation and management of Morgagni hernias in adults: a review of 298 cases

2008

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

Presentation and management of Morgagni hernias in adults: a review of 298 cases

2008

View full text Add to dashboard Cite

show abstract

“…However, mesh placement may be deferred in very small hernias, especially in children. 17,18 In this series, mesh reinforcement was done in all cases intra-peritoneally, that is, Intra-Peritoneal Onlay Mesh (IPOM) mesh repair with robotic assistance. However, Gergen et al reported that mesh placement by IPOM technique requires tacks or trans-fascial suture fixation of the mesh to diaphragm, anterior chest wall and costal margins which can result in severe post-op pain and longer hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Robotic Morgagni’s hernia repair in adults – A single centre experience

Pulle

Asaf

Puri

et al. 2023

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

Background This study was aimed at reporting the surgical outcomes and evaluating the safety and feasibility of robotic repair of Morgagni’s repair in adults. Methods This is a retrospective analysis of seven cases of Morgagni’s hernia in adults, managed by robotic method in a tertiary-level thoracic surgery centre over 9 years. A detailed analysis of all perioperative variables including complications was carried out. Results A total of seven patients underwent Robotic Morgagni’s hernia repair during the study period. Males (71.4%) were predominant in the patient cohort. Median age group was 33 years (range: 28–78 years). All patients were pre-obese with median body mass index of 29.4 (range: 27.5–29.9). All patients underwent robotic-assisted hernia repair with no conversions. Omentum was the most common hernial content (100%). In all cases, the defect was reinforced with a composite mesh. Median operative time was 140 min (range: 120–160). Median hospital stay of 3 days (range: 2–4 days). No post-procedural complications. All the patients had complete resolution of presenting symptoms. No recurrence was noted in the median follow-up period of 32 months (range: 6–78 months). Conclusion Robotic-assisted surgical repair of Morgagni’s hernia in adults is safe, feasible and effective. However, studies with larger sample size and multi-institutional collaboration are recommended for further conclusions.

show abstract

“…In a series of 36 patients undergoing MH repair, authors reported no recurrences following primary hernia repair without mesh 12 . The diaphragm is directly exposed to and potentially affected by increases in both intrathoracic and intra‐abdominal pressures, and thus some argue that mesh is necessary in all cases excluding very small defects, such as in neonates, in order to achieve a tension‐free repair 13,14 . In a meta‐analysis by Horton et al of 46 laparoscopic cases, 64% reported using mesh 15 .…”

Section: Discussionmentioning

confidence: 99%

A novel technique of robotic preperitoneal approach for Morgagni hernia repair

Gergen¹,

Frankel²,

Weyant³

et al. 2020

Asian J Endoscop Surgery

View full text Add to dashboard Cite

Introduction Morgagni hernia (MH) is a rare, congenital diaphragmatic hernia. We developed a novel robotic‐assisted technique to repair MH which enables dissection into the preperitoneal space, facilitating closure of the diaphragmatic defect and placement of a synthetic mesh. Materials and Surgical Technique Between August 2017 and August 2020, 8 consecutive patients with MH were repaired by robotic‐assisted transabdominal preperitoneal (r‐TAPP) approach. A preperitoneal plane is developed at the level of the falciform ligament and extended toward the diaphragmatic defect. The pocket is dissected inferior to the defect to allow 3 to 5 cm overlap of synthetic mesh. Excision of the hernia sac followed by closure of defect is performed. A synthetic mesh is deployed in the preperitoneal space with wide overlap. This technique using the robot provides superior optics and ergonomics for dissection while isolating the mesh from underlying viscera and avoiding the need for suturing or tacking of the mesh. Data of patients who underwent r‐TAPP were reviewed. Mean operating time was 113 minutes. Mean pain visual analog scale score was 5/2 on post‐operative days 1/7. Average hospital stay was 1.8 days. One patient developed superficial cellulitis related to the abdominal drain. There were no procedure‐related complications, 30‐day readmissions, or hernia recurrences at a mean follow‐up of 10 months. Discussion A robotic‐assisted preperitoneal approach is a novel, safe, and anatomically justified alternative technique for MH repair that may lead to improved post‐operative outcomes.

show abstract

Laparoscopic repair of Morgagni diaphragmatic hernia

Cited by 8 publications

References 8 publications

Presentation and management of Morgagni hernias in adults: a review of 298 cases

Presentation and management of Morgagni hernias in adults: a review of 298 cases

Robotic Morgagni’s hernia repair in adults – A single centre experience

A novel technique of robotic preperitoneal approach for Morgagni hernia repair

Contact Info

Product

Resources

About