title: Recurrence rate of Morgagni diaphragmatic hernia following laparoscopic repair.
abstract: OBJECTIVE
  Morgagni diaphragmatic hernia can be repaired laparoscopically. The aim of this study is to evaluate the outcome of this minimally invasive approach.
  
  
  METHODS
  A retrospective review was conducted on all consecutive children who underwent repair of Morgagni hernia from January 2002 to December 2011 in our hospital. Data are expressed as median (range).
  
  
  RESULTS
  There were 12 children with Morgagni hernia. Age at surgery was 7.5 months (2-125). Associated malformations were present in 7 children (58 %). All children underwent initial laparoscopic approach. Two children (16 %) underwent conversion to open surgery. The hernia was closed primarily in 11 children (92 %), using a polyester patch in 1 (8 %). There were no intraoperative or immediate postoperative complications. Five children (42 %), all repaired initially without a patch, had a recurrence of the Morgagni hernia. The repair of the recurrent hernia was performed laparoscopically in four out of the five children, and a patch was used in two patients with no further recurrences or complications.
  
  
  CONCLUSIONS
  There is a high rate of recurrence after laparoscopic Morgagni hernia repair. This is exclusively associated with laparoscopic repair without patch, and it is in contrast with the low recurrence rate reported previously. More frequent use of patch may be beneficial.
authors.affiliation: Department of Paediatric Surgery, UCL Institute of Child Health and Great Ormond Street Hospital for Children, London, WC1N 1EH, UK.
authors.forename: Massimo
authors.initials: M
authors.lastname: Garriboli
authors.forename: Mark
authors.initials: M
authors.lastname: Bishay
authors.forename: Edward M
authors.initials: EM
authors.lastname: Kiely
authors.forename: David P
authors.initials: DP
authors.lastname: Drake
authors.forename: Joseph I
authors.initials: JI
authors.lastname: Curry
authors.forename: Kate M K
authors.initials: KM
authors.lastname: Cross
authors.forename: Simon
authors.initials: S
authors.lastname: Eaton
authors.forename: Paolo
authors.initials: P
authors.lastname: De Coppi
authors.forename: Agostino
authors.initials: A
authors.lastname: Pierro
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods* / Q000706:statistics & numerical data; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D012008:Recurrence; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000706:statistics & numerical data; D016896:Treatment Outcome