Surgical technique of congenital diaphragmatic hernia following sleeve gastrectomy; a case report study

Goudarzi, Hamidreza; Hemmatizadeh, Mahsa; Anbara, Taha

doi:10.1016/j.ijscr.2022.107671

Cited by 2 publications

(1 citation statement)

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“…Although more common than Morgagni defects, Bochdalek hernias often present with more severe symptoms such as acute respiratory distress, abdominal pain, and ileus [5]. Nevertheless, multiple studies have recommended surgical repair for both types of defects [2,[6][7][8][9][10][11][12]. To date, there are a limited number of case reports that describe the surgical management of MHs in obese patients undergoing concomitant bariatric surgery [2,[8][9][10][11][12] and fewer studies that evaluate the need for surgical repair of those with incidental MHs [2,9,10].…”

Section: Introductionmentioning

confidence: 99%

A Case Report and Literature Review on Incidental Morgagni Hernia in Bariatric Patients: To Repair or Not to Repair?

Adereti¹,

Zahir²,

Robinson³

et al. 2023

Cureus

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Morgagni hernia (MH) is a congenital diaphragmatic hernia that is often asymptomatic in adult patients. These defects may be discovered incidentally during the intraoperative period and repaired laparoscopically with tension-free synthetic mesh when surgery is warranted. Presently, there is a dearth of studies addressing incidental MH repair in the setting of concomitant bariatric surgery. As such, there are no clear guidelines as to whether or not asymptomatic hernias found incidentally during bariatric surgery require operative repair. Herein, we present the case of a morbidly obese female patient with an incidental Morgagni defect that was identified during an elective sleeve gastrectomy. We also reviewed the literature to assess the efficacy of concurrent bariatric surgery and hernia repair.

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