Laparoscopic treatment of Morgagni-Larrey hernia: technical details and report of a series.
Three patients with Morgagni-Larrey hernia were admitted to the surgical department between August 2000 and September 2003 with slight chest pain and dyspnea. Laparoscopic repair of the diaphragmatic hernia was performed using a tension-free closure of the defects with either Vicryl-Prolene or dual facing mesh fixed by Prolene extracorporeal knots and Endostitch devices. The patients were discharged on postoperative day 5 without complications. Mean follow-up has been 23 months (range, 15-36 months) and no recurrence or morbidity related to the procedure has been seen. Laparoscopic repair of Morgagni-Larrey hernia represents an attractive alternative to open surgery. The benefits are gentle and easy manipulation of the content of the sac, reduced surgical trauma, and rapid and uneventful recovery.
Percivale
Andrea
A
Department of Surgery, Santa Corona Hospital, Pietra Ligure (SV), Italy. andreapercivale@libero.it
Stella
Mattia
M
Durante
Valentino
V
Dogliotti
Luca
L
Serafini
Giovanni
G
Saccomani
Giovanni
G
Pellicci
Riccardo
R
D000328:Adult; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh
D011126:Polypropylenes