title: Laparoscopic transabdominal repair of hernia of Morgagni-Larrey.
abstract: A patient with symptomatic gall stones was found to have a hernia of Morgagni. The patient complained of upper abdominal symptoms along with heaviness in the chest and mild dyspnea. A complete diagnosis was possible with a chest X ray and a CT scan, which revealed a right-sided Morgagni hernia containing omentum and some bowel loops. It was decided to laparoscopically deal with both lesions at the same sitting. Initially, a laparoscopic cholecystectomy was accomplished. The hernial contents were then reduced and an 8 cm x 5 cm defect was closed with a tailored mesh sutured in place with a hernia stapler. Follow up after one month showed an asymptomatic patient confirmed by CT scan. Morgagni hernia is eminently treatable laparoscopically and must be considered as a first line approach to this problem. It can safely be combined with other laparoscopic procedures.
authors.affiliation: Department of Surgery and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: C S
authors.initials: CS
authors.lastname: Ramachandran
authors.forename: V
authors.initials: V
authors.lastname: Arora
mesh_terms: D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh
chemical_list: D011126:Polypropylenes