Laparoscopic repair of Morgagni′s hernia: An innovative approach
Aim: To review our experience of laparoscopic repair of Morgagni′s hernia (MH) using transfascial sutures. Materials and Methods: This is a retrospective review of patients presenting to the first author with the diagnosis of MH over a 15-year period. The variables analyzed included demographic data...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Journal of Indian Association of Pediatric Surgeons |
| Subjects: | |
| Online Access: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2015;volume=20;issue=2;spage=68;epage=71;aulast=Shah |
| _version_ | 1811259533514768384 |
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| author | Rasik S Shah Pradeep Chandra Sharma Deepraj S Bhandarkar |
| author_facet | Rasik S Shah Pradeep Chandra Sharma Deepraj S Bhandarkar |
| author_sort | Rasik S Shah |
| collection | DOAJ |
| description | Aim: To review our experience of laparoscopic repair of Morgagni′s hernia (MH) using transfascial sutures. Materials and Methods: This is a retrospective review of patients presenting to the first author with the diagnosis of MH over a 15-year period. The variables analyzed included demographic data, clinical presentation, and operative details. Results: In all there were five male with a median age of 2 years. They were asymptomatic and MH was detected incidentally by observing an air-filled density in the right cardiophrenic angle on plain X-ray of the chest. Computed tomography (CT) confirmed the diagnosis in all patients. All patients underwent laparoscopic repair of MH using transfascial sutures. The average operative time was 75 min. Oral feeding was started 6 h after surgery and patients were discharged on either 3 rd or 4 th postoperative day. Postoperative follow-up X-ray confirmed the intact repair. Conclusions: Laparoscopic repair of MH using transfascial sutures is an easy and effective solution. Multiple horizontal mattress sutures taking full thickness of abdominal wall muscles with the edge of the diaphragm leads to a strong repair. As sutures are tied extracorporeally, the technique is easily reproducible. |
| first_indexed | 2024-04-12T18:32:01Z |
| format | Article |
| id | doaj.art-67e9b97fedd743768c5f55254317db14 |
| institution | Directory Open Access Journal |
| issn | 0971-9261 1998-3891 |
| language | English |
| last_indexed | 2024-04-12T18:32:01Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Pediatric Surgeons |
| spelling | doaj.art-67e9b97fedd743768c5f55254317db142022-12-22T03:21:02ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912015-01-01202687110.4103/0971-9261.151547Laparoscopic repair of Morgagni′s hernia: An innovative approachRasik S ShahPradeep Chandra SharmaDeepraj S BhandarkarAim: To review our experience of laparoscopic repair of Morgagni′s hernia (MH) using transfascial sutures. Materials and Methods: This is a retrospective review of patients presenting to the first author with the diagnosis of MH over a 15-year period. The variables analyzed included demographic data, clinical presentation, and operative details. Results: In all there were five male with a median age of 2 years. They were asymptomatic and MH was detected incidentally by observing an air-filled density in the right cardiophrenic angle on plain X-ray of the chest. Computed tomography (CT) confirmed the diagnosis in all patients. All patients underwent laparoscopic repair of MH using transfascial sutures. The average operative time was 75 min. Oral feeding was started 6 h after surgery and patients were discharged on either 3 rd or 4 th postoperative day. Postoperative follow-up X-ray confirmed the intact repair. Conclusions: Laparoscopic repair of MH using transfascial sutures is an easy and effective solution. Multiple horizontal mattress sutures taking full thickness of abdominal wall muscles with the edge of the diaphragm leads to a strong repair. As sutures are tied extracorporeally, the technique is easily reproducible.http://www.jiaps.com/article.asp?issn=0971-9261;year=2015;volume=20;issue=2;spage=68;epage=71;aulast=ShahLaparoscopyMorgagni′s herniatechniquetransfascial repair |
| spellingShingle | Rasik S Shah Pradeep Chandra Sharma Deepraj S Bhandarkar Laparoscopic repair of Morgagni′s hernia: An innovative approach Journal of Indian Association of Pediatric Surgeons Laparoscopy Morgagni′s hernia technique transfascial repair |
| title | Laparoscopic repair of Morgagni′s hernia: An innovative approach |
| title_full | Laparoscopic repair of Morgagni′s hernia: An innovative approach |
| title_fullStr | Laparoscopic repair of Morgagni′s hernia: An innovative approach |
| title_full_unstemmed | Laparoscopic repair of Morgagni′s hernia: An innovative approach |
| title_short | Laparoscopic repair of Morgagni′s hernia: An innovative approach |
| title_sort | laparoscopic repair of morgagni s hernia an innovative approach |
| topic | Laparoscopy Morgagni′s hernia technique transfascial repair |
| url | http://www.jiaps.com/article.asp?issn=0971-9261;year=2015;volume=20;issue=2;spage=68;epage=71;aulast=Shah |
| work_keys_str_mv | AT rasiksshah laparoscopicrepairofmorgagnisherniaaninnovativeapproach AT pradeepchandrasharma laparoscopicrepairofmorgagnisherniaaninnovativeapproach AT deeprajsbhandarkar laparoscopicrepairofmorgagnisherniaaninnovativeapproach |