Single-incision laparoscopic repair for a Morgagni hernia: A case report.

Authors :: Furukawa H
Wakasugi M
Yoshikawa Y
Sueda T
Matsumura T
Koga C
Miyagaki H
Tei M
Kawabata R
Tsujie M
Hasegawa J
Source :: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2021 Jan; Vol. 14 (1), pp. 124-127. Date of Electronic Publication: 2020 Jun 22.
Publication Year :: 2021
Abstract: A Morgagni hernia is a rare type of congenital diaphragmatic hernia. Here, a case of a Morgagni hernia repaired by SILS is presented. A 78-year-old woman was admitted to our hospital with nausea and vomiting. On CT, the transverse colon and antrum of the stomach were prolapsed into the right thoracic cavity. The herniated stomach was repositioned by emergency endoscopy, and SILS repair was performed electively. Laparoscopy showed the hernial orifice, which was 75 × 50 mm in diameter, on the right side and behind the sternum. Although the transverse colon had herniated through the defect into the right diaphragm, it was easily reduced into the abdominal cavity. Composite mesh was sutured to cover the hernial orifice. No perioperative complications or hernia recurrence have been observed in the 8 months since the surgery.<br /> (© 2020 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.)