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2018, Number 3

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Rev Mex Cir Endoscop 2018; 19 (3)

Laparoscopic repair for a Motgagni diaphragmatic hernia. Case report

Dávila JG, Sánchez SVM, Yáñez AP

Language: Spanish
References: 17
Page: 122-125
PDF size: 252.27 Kb.


ABSTRACT

Introduction: A Morgagni diaphragmatic hernia is predominantly on the right hemidiaphragm and is usually identified in adulthood, after events that cause increased in intra-abdominal pressure, such as pregnancy, obesity or ascites, causing respiratory and digestive symptoms. Case report: Female of 65 years of age with a history of a chronic obstructive pulmonary disease, bilateral inguinal hernia repair six years ago, four pregnancies resolved by childbirth and bilateral tubal ligation 18 years ago. The patient comes for assessment due to progressive dyspnea after medium and strenuous efforts, finding in chest X-ray and tomography a right diaphragmatic hernia. This was resolved satisfactorily by a laparoscopic approach with reduction of a hernia, which had a defect of 9.5 × 6 cm and a hernia sack of 14 x 11 cm containing colon and omentum; the reconstruction was performed by placing a mesh of carboxymethylcellulose-hyaluronate and polypropylene in the hernia defect. The patient presented with an adequate postoperative evolution. Conclusions: One more case is added to the literature where the laparoscopic approach is viable and a good therapeutic option for the resolution of the Morgagni hernia. More studies are required to confirm long-term results.


REFERENCES

  1. Wadhwa A, Surendra JB, Sharma A, Khullar R, Soni V, Baijal M et al. Laparoscopic repair of diaphragmatic hernias: experience of six cases. Asian J Surg. 2005; 28: 145-150.

  2. Jakhmola CK, Kumar V. Laparoscopic mesh repair of Morgagni hernia in an octogenarian patient. Med J Armed Forces India. 2015; 71: 79-81.

  3. Wynn J, Yu L, Chung WK. Genetic causes of congenital diaphragmatic hernia. Sem Fetal Neonatal Med. 2014; 19: 324-330.

  4. Kashiwagi H, Kumagai K, Nozue M, Terada Y. Morgagni hernia treated by reduced port surgery. Int J Surg Case Rep. 2014; 5: 1222-1224.

  5. Kurkcuoglu IC, Eroglu A, Karaoglanoglu N, Polat P, Balik AA, Tekinbas C. Diagnosis and surgical treatment of Morgagni hernia: report of three cases. Surg Today. 2003; 33: 525-528.

  6. Aydin Y, Altuntas B, Ulas AB, Daharli C, Eroglu A. Morgagni hernia: transabdominal or transthoracic approach? Acta Chir Belg. 2014; 114: 131-135.

  7. Godazandeh G, Mortazian M. Laparoscopic repair of Morgagni hernia using polyvinylidene fluoride (PVDF) mesh. Middle East J Dig Dis. 2012; 4: 232-235.

  8. Palanivelu C, Rangarajan M, Rajapandian S, Amar V, Parthasarathi R. Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study. Surg Endosc. 2009; 23: 978-985.

  9. Ruiz-Tovar J, Morales CV, Martínez ME. Diagnóstico y tratamiento quirúrgico de la hernia de Morgagni en el adulto. Neumol Cir Torax. 2009; 68: 110-113.

  10. Cisneros MH, Mayagoitia GJ, Cisneros RH. Otras manifestaciones o expresiones clínicas de herniosis (colagenosis) en adultos con hernia. Cir Gen. 2012; 34: 43-47.

  11. Rodríguez HJ, Tuca RF, Ruiz FB, Gironès VJ, Roig GJ, Codina CA et al. Diaphragmatic hernia of Morgagni-Larrey in adults: analysis of 10 cases. Gastroenterol Hepatol. 2003; 26: 535-540.

  12. Nguyen T, Eubanks PJ, Nguyen D, Klein SR. The laparoscopic approach for repair of Morgagni hernias. JSLS. 1998; 2: 85-88.

  13. Yavuz N, Yiğitbasi R, Sunamak O, As A, Oral C, Erguney S. Laparoscopic repair of Morgagni hernia. Surg Laparosc Endosc Percutan Tech. 2006; 16: 173-176.

  14. Durak E, Gur S, Cokmez A, Atahan K, Zahtz E, Tarcan E. Laparoscopic repair of Morgagni hernia. Hernia. 2007; 11: 265-270.

  15. Hernández LA, Aguirre OI, Morales VJ. Materiales protésicos en patología herniaria. Rev Mex Cir Endoscop. 2009; 10: 68-74.

  16. Paul S, Nasar A, Port JL, Lee PC, Stiles BC, Nguyen AB et al. Comparative analysis of diaphragmatic hernia repair outcomes using the nationwide inpatient sample database. Arch Surg. 2012; 147: 607-612.

  17. Araujo CJ, Azuaje N, Leal H, Carrizo F, García EM. Hernia diafragmática gigante retroesternal o paraesternal de Morgagni presentación inusual en un adulto. Academia Biomédica Digital. 2011; 45: 1-8.




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