Transabdominal approach in the surgical management of morgagni hernia
Yükleniyor...
Dosyalar
Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Surgery Today
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
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.
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.
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.
Açıklama
Surg Today (2007) 37:9–13.
Anahtar Kelimeler
Morgagni hernia, Diaphragmatic hernia, Surgery, Laparotomy, Complication
Kaynak
Surgery Today
WoS Q Değeri
Scopus Q Değeri
Cilt
37
Sayı
0
Künye
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.