title: Bilateral Morgagni Hernia: Primary Repair without a Mesh.
abstract: We present a case of bilateral Morgagni hernia in a 68-year-old male with an intermittent history of progressive onset of breath shortness and occasional cardiac arrhythmias. Diagnosis was made by clinical examination and the findings in a plain chest radiograph and was confirmed by computed tomography scan. The patient was operated electively and subjected to a transabdominal approach. A bilateral subcostal incision revealed a large right side anterior diaphragmatic defect with a hernia containing the ascending colon, the majority of the transverse colon and a huge amount of omentum. Also a second smaller defect was found on the left side with no hernia inside. After large bowel and omentum had been taken down to the peritoneal cavity, both defects were primarily closed using interrupted nylon sutures without the use of a mesh. The patient recovered very well, had an uneventful postoperative course and was released on the 5th postoperative day. 15-month follow-up failed to reveal any signs of recurrence.
authors.affiliation: Department of Transplant Surgery, Medical School, Aristotle University, Hippokration Hospital, Thessaloniki, Greece.
authors.forename: Vassilios
authors.initials: V
authors.lastname: Papanikolaou
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Giakoustidis
authors.forename: Paraskevi
authors.initials: P
authors.lastname: Margari
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Ouzounidis
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Antoniadis
authors.forename: Alexander
authors.initials: A
authors.lastname: Giakoustidis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Kardasis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Takoudas