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

Abstract

Morgagni hernia is a congenital, retrosternally situated, diaphragmatic defect usually seen on the right, but which may also affect the left side. It is very rare in adulthood and old age. As result of developing techniques in laparoscopy, congenital diaphragmatic hernia can now be repaired with minimally invasive means. Presently described are cases of 2 elderly female patients with subtle abdominal symptoms incidentally diagnosed with Morgagni hernia after abdominal computed tomography scan. Both patients were operated on using minimally invasive approach and laparoscopic repair was performed with synthetic material reinforcement in both cases. Patients were discharged after uneventful postoperative period. In conclusion, laparoscopic repair can be performed safely in selected cases at centers experienced in advanced laparoscopy.

Morgagni hernia repair in children over two decades: Institutional experience, systematic review, and meta-analysis of 296 patients

“…MIS continues to be utilised for its advantages in recovery time, length of stay, and analgesia requirement compared to the open approach and more importantly laparoscopy in experienced centres produced less complication and equally good results [13,17]. Effective laparoscopic primary repair has been made possible with the development of various modifications with use of Endo Stitch (Covidien) for intracorporeal suturing [26], or application of extracorporeal knot-tying techniques with knots buried in the subcutaneous layer [25]. Various needle retrieving techniques through the same epigastric incision using hollow-needle snare [42], or indeed in our experience with use of Endo Close (Metronic, Covidien).…”