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  • Title: Technique and Outcomes in Laparoscopic Repair of Morgagni Hernia in Adults.
    Author: Kao AM, Ayuso SA, Huntington CR, Sherrill WC, Cetrulo LN, Colavita PD, Heniford BT.
    Journal: J Laparoendosc Adv Surg Tech A; 2021 Jul; 31(7):814-819. PubMed ID: 33979533.
    Abstract:
    Background: Morgagni hernias (MHs) are rare anteromedial congenital diaphragmatic hernias. This study describes the effectiveness of a laparoscopic approach for these defects. Methods: A prospectively collected institutional database at a tertiary referral center was queried for patients (≥18 years) with MHs. Results: Fifteen adults underwent laparoscopic MH repair. Abdominal pain was the most common presentation (71.5%), and 2 patients (13.3%) presented with acute obstruction. Laparoscopic bridged mesh repair was the most common approach (66.7%) and was achieved by suturing a bridged synthetic mesh to the diaphragmatic portion of the defect and fixing it with transfascial sutures and/or tacks to the anterior abdominal wall. Primary suture repair was utilized for smaller defects. No mortalities or recurrences occurred after 20.2 months median follow-up. Conclusions: Laparoscopic synthetic mesh repair of adult MHs offers an effective hernia repair with minimal complications and no detected recurrences in long-term follow-up of this patient sample.
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