1 Jan 2008Case Report
Laparoscopic diagnosis and treatment of diaphragmatic Morgagni hernia Case report and review of the literature
Daniele Pironi 1Giorgio Palazzini 1Stefano Arcieri 1Salvatore Candioli 1Annarita Manigrasso 1Alessandra Panarese 1Angelo Filippini 1
Affiliations
Article Info
1 Department of Surgical Sciences, University “La Sapienza” of Rome, Italy.
Ann. Ital. Chir., 2008, 79(1), 29-36;
Published: 1 Jan 2008
Copyright © 2008 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
BACKGROUND: Morgagni’s hernia is a rare and congenital type of diaphragmatic hernia. The majority of these are asymptomatic and diagnosed incidentally during evaluation or treatment for other conditions. When diagnosis is made surgery is mandatory. The Authors report the laparoscopic repair of small Morgagni hernia, followed by review of the literature. MATERIALS AND METHODS: A case of 55-year-old woman complaining a sensation of tightness in her chest, but especially an oppressive epigastric pain with episodes of fainting fit and breathless is described. The definitive diagnosis was confirmed by laparoscopy. The hernia was repaired laparoscopically using a mesh fixed by hernia stapler after excision of the sac. RESULTS: In the postoperative patients has presented an episode of heart condition due to pericarditis treated pharmacologically. The patient was discharged on the seventh postoperative day symptom-free. CONCLUSIONS: Laparoscopic technique must be considered as a first line approach for the treatment of Morgagni hernia, easy and safe by carry out. We recommend do not excise hernia sac, even if small, and particular cure in the use of the mesh fixed by metal staples
Keywords
- Laparoscopic repair
- Laparoscopy
- Morgagni hernia