Surgical treatment of hernia of the foramen of Morgagni

Comer, Thomas P.; Clagett, O. Theron

doi:10.1016/s0022-5223(19)43390-4

Cited by 200 publications

(107 citation statements)

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“…It is more prevalent in women and commonly presents later in life as an asymptomatic incidental finding (28-50% of cases). 1,2 As in our case, the hernia most frequently contains omentum and transverse colon. [1][2][3] Patients with symptomatic hernia can present with dyspnoea, chest pain, bowel obstruction or epigastric pain.…”

Section: Discussionsupporting

confidence: 66%

“…1,2 As in our case, the hernia most frequently contains omentum and transverse colon. [1][2][3] Patients with symptomatic hernia can present with dyspnoea, chest pain, bowel obstruction or epigastric pain. Morgagni diaphragmatic hernias can be easily diagnosed on computed tomography, which typically shows a retrosternal collection of bowel and omentum.…”

Section: Discussionsupporting

confidence: 66%

“…It is very rare, accounting for approximately 3% of all diaphragmatic hernias. 1,2 This hernia is associated with other congenital defects such as Down syndrome and septal heart defects. Morgagni diaphragmatic hernia is believed to be more common on the right because of the position of the heart on the left side.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] In the past, transabdominal repair had been the routine operative management of these hernias. [1][2][3] It follows the principles of reducing the hernial contents, identification of the hernial neck and sac, excision of the sac and tension-free repair of the defect with sutures or synthetic mesh if required. Transthoracic repair is also well described but this as well as transabdominal repair is associated with increase morbidity and longer hospital stay.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic repair of Morgagni diaphragmatic hernia

2006

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Background:Morgagni diaphragmatic hernia is a rare congenital hernia that lies retrosternal through a congenital defect between the sternal and costal portions of the diaphragm. Surgical repair of Morgagni hernia is recommended because incarceration or strangulation of bowel within the thoracic cavity may occur. Methods: A case of Morgagni diaphragmatic hernia is presented and laparoscopic repair using Gore-Tex DualMesh is described. Results: There was complete resolution of the patient's symptoms including her dyspnoea. There were no postoperative complications. Conclusion: Laparoscopic repair of Morgagni diaphragmatic hernia is a safe and effective method for treating this rare surgical condition. The use of dual-layer mesh allows tension-free repair without the risk of intraabdominal adhesions forming between bowel and mesh.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic repair of Morgagni diaphragmatic hernia

2006

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“…In other cases, surgery can be considered when the ANZJSurg.com hernia is causing troublesome symptoms such as indigestion or bloating. 1 Marfan syndrome is one of the most common inherited connective tissue disorders. It is characterized by a mutation in the FBN-1 gene on the 15th chromosome leading to impaired fibrillin synthesis, an important matrix component of both elastic and non-elastic tissues.…”

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confidence: 99%