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Transabdominal approach in the surgical management of morgagni hernia

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dc.contributor.author Yılmaz, Mehmet
dc.contributor.author Işık, Burak
dc.contributor.author Çoban, Sacid
dc.contributor.author Söğütlü, Gökhan
dc.contributor.author Ara, Cengiz
dc.contributor.author Kırımlıoğlu, Vedat
dc.contributor.author Yılmaz, Sezai
dc.date.accessioned 2017-12-06T07:58:21Z
dc.date.available 2017-12-06T07:58:21Z
dc.date.issued 2006
dc.identifier.citation Yılmaz M., Isık B., Çoban S., Sögütlü G., Ara C., Kırımlıoğlu V., Yılmaz S., Kayaalp C. (2006) Transabdominal approach in the surgical management of morgagni hernia. Surgery Today. tr_TR
dc.identifier.uri https://link.springer.com/content/pdf/10.1007%2Fs00595-006-3336-0.pdf
dc.identifier.uri http://hdl.handle.net/11616/7863
dc.description Surg Today (2007) 37:9–13. tr_TR
dc.description.abstract Purpose. Morgagni hernias are uncommon diaphragmatic hernias that are generally asymptomatic, and so far only limited data have been reported. The objective of this retrospective study was to evaluate the outcome of patients presenting with a complicated Morgagni hernia and who undergo a transabdominal repair. Methods. Between September 1999 and October 2005, 11 patients with Morgagni hernia were operated on in our department. Eight of them had acute presentations because of a complicated Morgagni hernia. The patient demographics, presenting symptoms, operative approach, and complications were collected. The postoperative course was evaluated for morbidity and mortality. Results. The patients’ ages ranged from 42 to 85 years (mean 69.4). Two (18.2%) patients were male and nine (81.8%) patients were female. Chest roentgenograms, computed tomography, and contrast meal studies were used as diagnostic utilities. A transabdominal approach was used for all patients. One patient died due to pulmonary failure. The mean follow-up was 2.8 years. There was no recurrence or symptoms regarding the operation in the remaining patients. Conclusion. We recommend the transabdominal approach in patients with Morgagni hernia as it makes it easy to reduce the hernia contents and repair of the hernia sac. Moreover, when complicated with strangulation, incarceration or perforation, a surgical repair through a transabdominal approach is mandatory. tr_TR
dc.description.abstract Morgagni hernia is a congenital herniation of the abdominal contents through the retrosternal defect into the thoracic cavity. In 1769 Morgagni first described a diaphragmatic hernia that originated from the sternocostal trigone.1 In 1828 Larrey described a surgical approach to the pericardial cavity through an anterior diaphragmatic defect.2 This triangular space is located between the muscular fibers of xiphosternum and costal margin fibers protruding into the central tendon. The lack of fusion in the anterior part of the pleuroperitoneal membrane and deficiency in the mascularization result in a hernia in this space. The herniation of abdominal contents is typically caused by an increase in intra-abdominal pressure secondary to trauma, pregnancy, and obesity.3 We herein report our experience and the suitability of a transabdominal approach as a surgical procedure in 11 patients with Morgagni hernia. tr_TR
dc.language.iso eng tr_TR
dc.publisher Surgery Today tr_TR
dc.relation.isversionof 10.1007/s00595-006-3336-0 tr_TR
dc.rights info:eu-repo/semantics/openAccess tr_TR
dc.subject Morgagni hernia tr_TR
dc.subject Diaphragmatic hernia tr_TR
dc.subject Surgery tr_TR
dc.subject Laparotomy tr_TR
dc.subject Complication tr_TR
dc.title Transabdominal approach in the surgical management of morgagni hernia tr_TR
dc.type article tr_TR
dc.relation.journal Surgery Today tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.contributor.authorID 110105 tr_TR
dc.contributor.authorID 109416 tr_TR
dc.contributor.authorID 109416 tr_TR
dc.identifier.volume 37 tr_TR
dc.identifier.issue 0 tr_TR
dc.identifier.startpage 9 tr_TR
dc.identifier.endpage 13 tr_TR

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