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Laparoscopic treatment of Morgagni-Larrey hernia.
W V Med J. 2004 Jan-Feb; 100(1):14-7.WV

Abstract

This report describes the cases of two patients who underwent laparoscopic repair for treatment of Morgagni-Larrey hernia at United Hospital Center in Clarksburg. The first patient was a 40-year-old woman complaining of epigastric discomfort and tenderness. Her chest X-ray revealed an anterior cardiophrenic mass, and a CT scan showed a characteristic Morgagni hernia with incarcerated colon and omentum. After reduction of the incarcerated bowel and omentum, autosuture repair was carried out laparoscopically In the second case, a 22-year-old man with severe GERD was found to have a large Morgagni hernia with incarcerated transverse colon and omentum, which was discovered while he was undergoing an elective laparoscopic Nissen fundoplication. Laparoscopic repair of Morgagni hernia was carried out, in addition to Nissen fundoplication. Both patients did very well postoperatively. Minimally invasive laparoscopic repair can be successfully carried out, and mesh implantation is performed only in some cases. In order to avoid pleural injury, we prefer not to remove the hernia sac before a Morgagni hernia is repaired. Laparoscopic repair should be considered the standard and safest procedure for the treatment of a Morgagni hernia.

Authors+Show Affiliations

Chang TH
West Virginia University School of Medicine, Morgantown, USA.

MeSH

AdultFemaleHernia, DiaphragmaticHernias, Diaphragmatic, CongenitalHumansLaparoscopyMaleTomography, X-Ray Computed

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15119491

Citation

Chang, Thomas H.. "Laparoscopic Treatment of Morgagni-Larrey Hernia." The West Virginia Medical Journal, vol. 100, no. 1, 2004, pp. 14-7.
Chang TH. Laparoscopic treatment of Morgagni-Larrey hernia. W V Med J. 2004;100(1):14-7.
Chang, T. H. (2004). Laparoscopic treatment of Morgagni-Larrey hernia. The West Virginia Medical Journal, 100(1), 14-7.
Chang TH. Laparoscopic Treatment of Morgagni-Larrey Hernia. W V Med J. 2004 Jan-Feb;100(1):14-7. PubMed PMID: 15119491.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic treatment of Morgagni-Larrey hernia. A1 - Chang,Thomas H, PY - 2004/5/4/pubmed PY - 2004/6/5/medline PY - 2004/5/4/entrez SP - 14 EP - 7 JF - The West Virginia medical journal JO - W V Med J VL - 100 IS - 1 N2 - This report describes the cases of two patients who underwent laparoscopic repair for treatment of Morgagni-Larrey hernia at United Hospital Center in Clarksburg. The first patient was a 40-year-old woman complaining of epigastric discomfort and tenderness. Her chest X-ray revealed an anterior cardiophrenic mass, and a CT scan showed a characteristic Morgagni hernia with incarcerated colon and omentum. After reduction of the incarcerated bowel and omentum, autosuture repair was carried out laparoscopically In the second case, a 22-year-old man with severe GERD was found to have a large Morgagni hernia with incarcerated transverse colon and omentum, which was discovered while he was undergoing an elective laparoscopic Nissen fundoplication. Laparoscopic repair of Morgagni hernia was carried out, in addition to Nissen fundoplication. Both patients did very well postoperatively. Minimally invasive laparoscopic repair can be successfully carried out, and mesh implantation is performed only in some cases. In order to avoid pleural injury, we prefer not to remove the hernia sac before a Morgagni hernia is repaired. Laparoscopic repair should be considered the standard and safest procedure for the treatment of a Morgagni hernia. SN - 0043-3284 UR - https://www.unboundmedicine.com/medline/citation/15119491/Laparoscopic_treatment_of_Morgagni_Larrey_hernia_ DB - PRIME DP - Unbound Medicine ER -