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

Abstract

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.