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Laparoscopic Repair of a Morgagni-Larrey Hernia

1998; Mary Ann Liebert, Inc.; Volume: 8; Issue: 5 Linguagem: Inglês

10.1089/lap.1998.8.309

1557-9034

Marina Bortul, L Calligaris, PAOLO GHELLER,

Congenital Diaphragmatic Hernia Studies

The authors report a case of a large Morgagni hernia treated by laparoscopy. The patient complained of dyspnea, cough, and a sensation of tightness in the chest 1 month prior to admission. Preoperative diagnosis was made by chest x-ray, CT scan, and MRI, which showed a large right paracardiac mass consisting of an omentum and transverse colon. By reducing the hernial content, a 6 × 10-cm defect was revealed; the repair was performed with a Marlex mesh sutured by a hernia stapler. Postoperative recovery was uneventful, and 3 months after surgery the patient is well. Laparoscopic treatment of a Morgagni hernia provides an excellent view of the surgical field and ease of execution, joined with a minimal surgical trauma with rapid recovery for the patient.