Morgagni-Larrey hernia in an adult patient

The article discusses a treatment of a 30-year-old patient with a newly diagnosed diaphragmatic Morgagni-Larrey hernia. Among diaphragmatic hernias, Morgagni-Larrey pathology occurs in 26 % of cases, mostly on the right side. Data on access options for abdominal-mediastinal hernias are presented. In...

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Hlavní autoři: V.N. Makhutov, D.V. Lebedeva, D.A. Shevchenko, E.G. Grigoryev
Médium: Článek
Jazyk:English
Vydáno: Ministry of Health of the Russian Federation, Irkutsk State Medical University 2022-12-01
Edice:Байкальский медицинский журнал
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On-line přístup:https://www.bmjour.ru/jour/article/view/29
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author V.N. Makhutov
D.V. Lebedeva
D.A. Shevchenko
E.G. Grigoryev
author_facet V.N. Makhutov
D.V. Lebedeva
D.A. Shevchenko
E.G. Grigoryev
author_sort V.N. Makhutov
collection DOAJ
description The article discusses a treatment of a 30-year-old patient with a newly diagnosed diaphragmatic Morgagni-Larrey hernia. Among diaphragmatic hernias, Morgagni-Larrey pathology occurs in 26 % of cases, mostly on the right side. Data on access options for abdominal-mediastinal hernias are presented. In the presented case report, the planned surgical intervention was performed from laparotomy access. The hernia content was represented by a transverse colon and a large omentum, as in most reported cases. We removed the hernial sac and performed plastic repair of the defect with local diaphragm tissues. Taking into account that the discussed pathology decreases the quality of life and has a risk of complications, it is appropriate to perform elective surgical interventions in such patients. Choice of operative access, technique of diaphragm plastic surgery and need for the hernial sac excision are the matters of further consideration.
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spelling doaj.art-15958d1e3c934f80baab5838581a203f2024-12-28T06:09:11ZengMinistry of Health of the Russian Federation, Irkutsk State Medical UniversityБайкальский медицинский журнал2949-07152022-12-0111646910.57256/2949-0715-2022-1-64-6911Morgagni-Larrey hernia in an adult patientV.N. Makhutov0D.V. Lebedeva1D.A. Shevchenko2E.G. Grigoryev3Irkutsk regional clinical hospital, winner of the “Mark of the Honor” awardIrkutsk State Medical UniversityIrkutsk regional clinical hospital, winner of the “Mark of the Honor” awardIrkutsk State Medical University, Irkutsk Scientific Centre of Surgery and TraumatologyThe article discusses a treatment of a 30-year-old patient with a newly diagnosed diaphragmatic Morgagni-Larrey hernia. Among diaphragmatic hernias, Morgagni-Larrey pathology occurs in 26 % of cases, mostly on the right side. Data on access options for abdominal-mediastinal hernias are presented. In the presented case report, the planned surgical intervention was performed from laparotomy access. The hernia content was represented by a transverse colon and a large omentum, as in most reported cases. We removed the hernial sac and performed plastic repair of the defect with local diaphragm tissues. Taking into account that the discussed pathology decreases the quality of life and has a risk of complications, it is appropriate to perform elective surgical interventions in such patients. Choice of operative access, technique of diaphragm plastic surgery and need for the hernial sac excision are the matters of further consideration.https://www.bmjour.ru/jour/article/view/29morgagni-larrey hernia, diaphragmatic hernia, retrosternal hernia, diaphragm defect, hernial sac, organ transposition
spellingShingle V.N. Makhutov
D.V. Lebedeva
D.A. Shevchenko
E.G. Grigoryev
Morgagni-Larrey hernia in an adult patient
Байкальский медицинский журнал
morgagni-larrey hernia, diaphragmatic hernia, retrosternal hernia, diaphragm defect, hernial sac, organ transposition
title Morgagni-Larrey hernia in an adult patient
title_full Morgagni-Larrey hernia in an adult patient
title_fullStr Morgagni-Larrey hernia in an adult patient
title_full_unstemmed Morgagni-Larrey hernia in an adult patient
title_short Morgagni-Larrey hernia in an adult patient
title_sort morgagni larrey hernia in an adult patient
topic morgagni-larrey hernia, diaphragmatic hernia, retrosternal hernia, diaphragm defect, hernial sac, organ transposition
url https://www.bmjour.ru/jour/article/view/29
work_keys_str_mv AT vnmakhutov morgagnilarreyherniainanadultpatient
AT dvlebedeva morgagnilarreyherniainanadultpatient
AT dashevchenko morgagnilarreyherniainanadultpatient
AT eggrigoryev morgagnilarreyherniainanadultpatient