Laparoscopic repair of a Morgagni-Larrey hernia: report of three cases.
Morgagni-Larrey hernia is a rare type of diaphragmatic hernia, the diagnosis of which is made incidentally by routine chest X-ray film. We describe a technique for the laparoscopic repair of Morgagni-Larrey hernia which was successfully performed in three adult patients; two women and one man. Two of the patients were asymptomatic and had herniation of only omentum into the right hemithorax; however, one was symptomatic and had herniation of the omentum and large bowel. Tension-free closure of the defects was done using Prolene mesh with a hernia stapler, helical fastener, and Endostitch. There were no early complications and the patients were discharged on the fourth postoperative day. The mean follow-up period was 41 months, and there has been no late morbidity or mortality related to this procedure. Using a laparoscopic approach to repair a Morgagni-Larrey hernia provides an excellent view of the surgical field and allows easy manipulation with minimal surgical trauma, followed by rapid recovery of the patient.
Ipek
Turgut
T
Department of General Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
Altinli
Ediz
E
Yuceyar
Serdar
S
Erturk
Suphan
S
Eyuboglu
Erhun
E
Akcal
Tarik
T
D000328:Adult; D005260:Female; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh
D011126:Polypropylenes