Laparoscopic mesh repair of Morgagni hernia: Two-case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 YAO Xiaojun ^1,2 , JIANG Liangshuang ¹ , WU Banggui ¹ , TANG Shujun ¹ , ZHENG Xinglong ¹ , ZHANG Hongwei ²

1. Department of Thoracic Surgery, The Public Health Clinical Center of Chengdu, Chengdu, 610061, P.R.China;
2. Department of Thoracic Surgery, Meishan Cancer Hospital, Meishan, 620010, Sichuan, P.R.China;

Corresponding author：

YAO Xiaojun, Email: flyingyao@163.com

Keywords：

Morgagni hernia; laparoscope; thoracoscope; mesh repair

DOI：

10.7507/1007-4848.202004038

Video：

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Morgagni hernia is a rare form (accounting for 2%) of congenital diaphragmatic hernia. The traditional treatment for Morgagni hernia includes thoracotomy and laparotomy. However, surgical trauma limits its adoption. We reported the results of 2 patients with congenital Morgagni hernias in adults and described the operation methods of the patients. The 2 patients recovered uneventfully. No evidence of recurrence was found after 5 years follow-up. Laparoscopic repair for Morgagni hernia with mesh is applicable for obese, aged and bilateral Morgagni hernias patients.

Citation： YAO Xiaojun, JIANG Liangshuang, WU Banggui, TANG Shujun, ZHENG Xinglong, ZHANG Hongwei. Laparoscopic mesh repair of Morgagni hernia: Two-case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(7): 870-873. doi: 10.7507/1007-4848.202004038 Copy

1.	Horton JD, Hofmann LJ, Hetz SP. Presentation and management of Morgagni hernias in adults: A review of 298 cases. Surg Endosc, 2008, 22(6): 1413-1420.
2.	Aydin Y, Altuntas B, Ulas AB, et al. Morgagni hernia: Transabdominal or transthoracic approach? Acta Chir Belg, 2014, 114(2): 131-135.
3.	张志波. 先天性重症膈疝的多学科救治. 临床小儿外科杂志, 2018, 17(1): 14-18.
4.	Zhou ZL, Li H, Li JF, et al. A rare case of laparoscopic repair of simultaneously occurring Morgagni and paraesophageal hernias. Ann Thorac Cardiovasc Surg, 2016, 22(2): 112-115.
5.	Şen S, Cokpınar S, Kanlıoğlu N, et al. A new method of application in repair Morgagni hernia: Evaluation of ten cases. Meandros Med Dent J, 2016.
6.	王波, 彭美红, 江海, 等. 腹腔镜治疗成人 Morgagni 疝致肠梗阻一例. 临床外科杂志, 2019, 27(9): 756-757.
7.	王海波. 14 例先天性胸骨后膈疝薄层螺旋 CT 扫描诊断与鉴别诊断. 中国现代医生, 2013, 51(33): 88-90.
8.	Godazandeh G, Mokhtari-Esbuie F. Laparoscopic repair of Morgagni hernia: Three-case presentation and the literature. Case Rep Surg, 2016, 2016: 4268539.
9.	Pousios D, Panagiotopoulos N, Piyis A, et al. Transthoracic repair of asymptomatic Morgagni hernia in an adult. Indian J Surg, 2012, 74(5): 431-433.
10.	任占良, 任小朋, 张泳, 等. 腹腔镜手术治疗成人先天性膈疝 1 例报告. 中国实用外科杂志, 2018, 38(8): 960-961.
11.	Amer K. Thoracoscopic approach to congenital diaphragmatic hernias in adults: Southampton approach and review of the literature. J Vis Surg, 2017, 3: 176.
12.	Ryan JM, Rogers AC, Hannan EJ, et al. Technical description of laparoscopic Morgagni hernia repair with primary closure and onlay composite mesh placement. Hernia, 2018, 22(4): 697-705.
13.	Garriboli M, Bishay M, Kiely EM, et al. Recurrence rate of Morgagni diaphragmatic hernia following laparoscopic repair. Pediatr Surg Int, 2013, 29(2): 185-189.
14.	Aghajanzadeh M, Khadem S, Khajeh Jahromi S, et al. Clinical presentation and operative repair of Morgagni hernia. Interact Cardiovasc Thorac Surg, 2012, 15(4): 608-611.
15.	Greca G, Fisichella P, Greco L, et al. A new simple laparoscopic-extracorporeal technique for the repair of a Morgagni diaphragmatic hernia. Surg Endosc, 2001, 15(1): 99.
16.	Thoman DS, Hui T, Phillips EH. Laparoscopic diaphragmatic hernia repair. Surg Endosc, 2002, 16(9): 1345-1349.
17.	Sherigar JM, Dalal AD, Patel JR. Laparoscopic repair of a Morgagni hernia. J Minim Access Surg, 2005, 1(2): 76-78.
18.	Vanclooster P, Lefevre A, Nijs S, et al. Laparoscopic repair of a Morgagni hernia. Acta Chir Belg, 1997, 97(2): 84-85.
19.	Griffiths EA, Ellis A, Mohamed A, et al. Surgical treatment of a Morgagni hernia causing intermittent gastric outlet obstruction. BMJ Case Rep, 2010, 2010: bcr0120102608.
20.	Li S, Liu X, Shen Y, et al. Laparoscopic repair of Morgagni hernia by artificial pericardium patch in an adult obese patient. J Thorac Dis, 2015, 7(4): 754-757.
21.	Godazandeh G, Mortazian M. Laparoscopic repair of Morgagni hernia using Polyvinylidene Fluoride (PVDF) mesh. Middle East J Dig Dis, 2012, 4(4): 232-235.
22.	Jakhmola CK, Kumar V. Laparoscopic mesh repair of Morgagni hernia in an octogenarian patient. Med J Armed Forces India, 2015, 71(1): 79-81.

1. Horton JD, Hofmann LJ, Hetz SP. Presentation and management of Morgagni hernias in adults: A review of 298 cases. Surg Endosc, 2008, 22(6): 1413-1420.
2. Aydin Y, Altuntas B, Ulas AB, et al. Morgagni hernia: Transabdominal or transthoracic approach? Acta Chir Belg, 2014, 114(2): 131-135.
3. 张志波. 先天性重症膈疝的多学科救治. 临床小儿外科杂志, 2018, 17(1): 14-18.
4. Zhou ZL, Li H, Li JF, et al. A rare case of laparoscopic repair of simultaneously occurring Morgagni and paraesophageal hernias. Ann Thorac Cardiovasc Surg, 2016, 22(2): 112-115.
5. Şen S, Cokpınar S, Kanlıoğlu N, et al. A new method of application in repair Morgagni hernia: Evaluation of ten cases. Meandros Med Dent J, 2016.
6. 王波, 彭美红, 江海, 等. 腹腔镜治疗成人 Morgagni 疝致肠梗阻一例. 临床外科杂志, 2019, 27(9): 756-757.
7. 王海波. 14 例先天性胸骨后膈疝薄层螺旋 CT 扫描诊断与鉴别诊断. 中国现代医生, 2013, 51(33): 88-90.
8. Godazandeh G, Mokhtari-Esbuie F. Laparoscopic repair of Morgagni hernia: Three-case presentation and the literature. Case Rep Surg, 2016, 2016: 4268539.
9. Pousios D, Panagiotopoulos N, Piyis A, et al. Transthoracic repair of asymptomatic Morgagni hernia in an adult. Indian J Surg, 2012, 74(5): 431-433.
10. 任占良, 任小朋, 张泳, 等. 腹腔镜手术治疗成人先天性膈疝 1 例报告. 中国实用外科杂志, 2018, 38(8): 960-961.
11. Amer K. Thoracoscopic approach to congenital diaphragmatic hernias in adults: Southampton approach and review of the literature. J Vis Surg, 2017, 3: 176.
12. Ryan JM, Rogers AC, Hannan EJ, et al. Technical description of laparoscopic Morgagni hernia repair with primary closure and onlay composite mesh placement. Hernia, 2018, 22(4): 697-705.
13. Garriboli M, Bishay M, Kiely EM, et al. Recurrence rate of Morgagni diaphragmatic hernia following laparoscopic repair. Pediatr Surg Int, 2013, 29(2): 185-189.
14. Aghajanzadeh M, Khadem S, Khajeh Jahromi S, et al. Clinical presentation and operative repair of Morgagni hernia. Interact Cardiovasc Thorac Surg, 2012, 15(4): 608-611.
15. Greca G, Fisichella P, Greco L, et al. A new simple laparoscopic-extracorporeal technique for the repair of a Morgagni diaphragmatic hernia. Surg Endosc, 2001, 15(1): 99.
16. Thoman DS, Hui T, Phillips EH. Laparoscopic diaphragmatic hernia repair. Surg Endosc, 2002, 16(9): 1345-1349.
17. Sherigar JM, Dalal AD, Patel JR. Laparoscopic repair of a Morgagni hernia. J Minim Access Surg, 2005, 1(2): 76-78.
18. Vanclooster P, Lefevre A, Nijs S, et al. Laparoscopic repair of a Morgagni hernia. Acta Chir Belg, 1997, 97(2): 84-85.
19. Griffiths EA, Ellis A, Mohamed A, et al. Surgical treatment of a Morgagni hernia causing intermittent gastric outlet obstruction. BMJ Case Rep, 2010, 2010: bcr0120102608.
20. Li S, Liu X, Shen Y, et al. Laparoscopic repair of Morgagni hernia by artificial pericardium patch in an adult obese patient. J Thorac Dis, 2015, 7(4): 754-757.
21. Godazandeh G, Mortazian M. Laparoscopic repair of Morgagni hernia using Polyvinylidene Fluoride (PVDF) mesh. Middle East J Dig Dis, 2012, 4(4): 232-235.
22. Jakhmola CK, Kumar V. Laparoscopic mesh repair of Morgagni hernia in an octogenarian patient. Med J Armed Forces India, 2015, 71(1): 79-81.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Laparoscopic mesh repair of Morgagni hernia: Two-case report

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