Use of a prosthetic patch for laparoscopic repair of Morgagni diaphragmatic hernia in children.
BACKGROUND
Morgagni hernias are well suited to laparoscopic repair. A primary suture closure may result in tension on the repair, thereby predisposing the patient to a recurrence. A prosthetic patch (PP) can be used to provide a tension-free repair. In this study, we reviewed our experience with the laparoscopic PP repair of Morgagni hernias in children.


METHODS
A retrospective chart review of all patients undergoing a laparoscopic Morgagni hernia repair using a PP was undertaken between November 2002 and January 2006. Outcome measures included age, gender, defect size, use of mesh, and outcome. The time of follow-up was from 6 to 37 months.


RESULTS
Seven (7) patients (6 male, 1 female) underwent a laparoscopic repair of Morgagni hernia during this time period. Six (6) patients had a congenital hernia, and 1 patient was thought to have an iatrogenic hernia following a sternotomy for heart surgery. Defect size ranged from 4 to 7 cm in maximum dimension. All operations were completed laparoscopically, no patients presented with recurrence, and no PP complications were encountered.


CONCLUSIONS
The laparoscopic repair of Morgagni hernia using a PP can be performed with relative ease and with a positive outcome, and may prevent future recurrence by effecting a tension-free repair.
Dutta
Sanjeev
S
Department of Surgery, Division of Pediatric Surgery, Lucile Packard Children's Hospital at Stanford University Medical Center, Standford, California 94305-5733, USA.
Albanese
Craig T
CT
D000367:Age Factors; D001672:Biocompatible Materials; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006548:Hernia, Diaphragmatic / Q000145:classification / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D012008:Recurrence; D012189:Retrospective Studies; D012737:Sex Factors; D013526:Surgical Mesh; D016896:Treatment Outcome
D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene