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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Main Authors: V.N. Makhutov, D.V. Lebedeva, D.A. Shevchenko, E.G. Grigoryev
Format: Article
Language:English
Published: Ministry of Health of the Russian Federation, Irkutsk State Medical University 2022-12-01
Series:Байкальский медицинский журнал
Subjects:
Online Access: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-15958d1e3c934f80baab5838581a203f2024-01-01T12:18:05ZengMinistry 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. Grigoryev3ГБУЗ "Иркутская ордена "Знак почета" областная клиническая больница"ФГБОУ ВО ИГМУ Минздрава РоссииГБУЗ "Иркутская ордена "Знак почета" областная клиническая больница"ФГБНУ «Иркутский научный центр хирургии и травматологии»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.https://www.bmjour.ru/jour/article/view/29грыжа морганьи-ларреядиафрагмальные грыжиретростернальные грыжидефект диафрагмыгрыжевой мешоктранспозиция органов
spellingShingle V.N. Makhutov
D.V. Lebedeva
D.A. Shevchenko
E.G. Grigoryev
Morgagni-Larrey hernia in an adult patient
Байкальский медицинский журнал
грыжа морганьи-ларрея
диафрагмальные грыжи
ретростернальные грыжи
дефект диафрагмы
грыжевой мешок
транспозиция органов
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 грыжа морганьи-ларрея
диафрагмальные грыжи
ретростернальные грыжи
дефект диафрагмы
грыжевой мешок
транспозиция органов
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