Shuhai Li1, Xiaochuan Liu1, Yaxing Shen1, Hao Wang1, Mingxiang Feng1, Lijie Tan1. 1. 1 Department of Thoracic Surgery, Qilu Hospital, Shandong University, Jinan 250012, China ; 2 Department of Cardiothoracic Surgery, People's Hospital of Guang'an City, Guang'an 638001, China ; 3 Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Abstract
BACKGROUND: Morgagni hernia is a kind of rare congenital diaphragmatic hernia. We reported a case of Morgagni hernia repaired successfully with artificial pericardium patch via the laparoscopic approach. METHODS: The patient was admitted with a 3-month history of postprandial nausea and vomiting, and accompanied by epigastric pain. Computed tomography (CT) scans showed a large anteromedial diaphragmatic hernia. The hernial contents were reduced back into the abdominal cavity and the diaphragmatic defect was repaired with artificial pericardium patch by laparoscopic intracorporeal suture. RESULTS: We achieved satisfactory intracorporeal repair of this large diaphragmatic defect. The patient had excellent recovery and started on oral diet on the first postoperative day, and then was discharged just two days after operation. CONCLUSIONS: The minimally invasive advantage of laparoscopic approach offers a secure, reliable and satisfactory way to confirm the diagnosis and achieve the repair of non-complicated Morgagni hernia.
BACKGROUND: Morgagni hernia is a kind of rare congenital diaphragmatic hernia. We reported a case of Morgagni hernia repaired successfully with artificial pericardium patch via the laparoscopic approach. METHODS: The patient was admitted with a 3-month history of postprandial nausea and vomiting, and accompanied by epigastric pain. Computed tomography (CT) scans showed a large anteromedial diaphragmatic hernia. The hernial contents were reduced back into the abdominal cavity and the diaphragmatic defect was repaired with artificial pericardium patch by laparoscopic intracorporeal suture. RESULTS: We achieved satisfactory intracorporeal repair of this large diaphragmatic defect. The patient had excellent recovery and started on oral diet on the first postoperative day, and then was discharged just two days after operation. CONCLUSIONS: The minimally invasive advantage of laparoscopic approach offers a secure, reliable and satisfactory way to confirm the diagnosis and achieve the repair of non-complicated Morgagni hernia.
Authors: Massimo Garriboli; Mark Bishay; Edward M Kiely; David P Drake; Joseph I Curry; Kate M K Cross; Simon Eaton; Paolo De Coppi; Agostino Pierro Journal: Pediatr Surg Int Date: 2013-02 Impact factor: 1.827