ArticleSurgical endoscopy2022
Laparoscopic management of symptomatic congenital diaphragmatic hernia of Morgagni in the adult.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- The surgical treatment of Morgagni hernias in adults: a systematic review for the standardization of laparoscopic surgical repair.Updates in surgery · 2024Pooled it
- Radiological insights into a voluminous left-sided Morgagni-Larrey hernia: A case report.Radiology case reports · 2026Article
- The clinical application of laparoscopic-assisted suture hook technique in the repair of Morgagni hernia.BMC surgery · 2026Article
- Clinical Presentations and Surgical Features of Morgagni Hernia in Adults: A Retrospective Study.Health science reports · 2024Article
- Article
- Robotic transabdominal preperitoneal Morgagni hernia repair: surgical technique.Journal of visualized surgery · 2024Article
- Laparoscopic repair of Morgagni hernia by primary closure with extra-abdominal suture: a case report and review of the literature.The Pan African medical journal · 2024Review
- A rare case of pseudomyxoma peritonei with Morgagni hernia.International cancer conference journal · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrently, there is a relative paucity of literature regarding the management of symptomatic congenital diaphragmatic hernia of the foramen of Morgagni in the adult. This study aims to describe our unique surgical technique and outcomes in adult patients undergoing laparoscopic repair of symptomatic Morgagni hernia.
methodsThis is a retrospective review of adult patients from 2003 to 2020 who underwent a laparoscopic Morgagni hernia repair at our institution. All patients underwent a similar laparoscopic approach, utilizing the surgical principles of reduction of intra-abdominal contents, complete resection of the hernia sac, followed by primary repair of the hernia defect and mesh reinforcement with permanent mesh if the primary repair was subjectively under tension.
resultsThe study population consisted of 12 consecutive patients with a Morgagni hernia. Patients presented with a variety of symptoms attributed to the hernia, including pain 83% (n = 10), respiratory symptoms and shortness of breath 58% (7), and gastrointestinal obstruction 25% (3). Other complaints included: nausea 33% (4), reflux 50% (6), early satiety 8% (1), palpitations 16% (2), a gurgling sensation in the chest 8% (1), and weight loss 8% (1). Primary repair was possible in all patients following complete reduction of hernia contents including the hernia sac. Mesh reinforcement was used in 5 of 12 patients. Average surgical operative time was 93 (± 37) min. Median length of stay was 1.3 days (range 0.5-5.5 days). At a median follow-up of 10.9 months (IQR 8.0-41.5 months), all symptoms attributed to the hernia had resolved. No recurrences were identified.
conclusionsAdults with symptomatic Morgagni hernia should undergo surgical repair. A laparoscopic approach utilizing the surgical principles of reduction of intra-abdominal contents, complete resection of the hernia sac, followed by primary repair of the hernia defect (when possible), with or without mesh reinforcement can be performed safely and effectively.
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