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Laparoscopic repair of Morgagni hernia in children

AIM: We aimed to present our laparoscopic treatment experience in Morgagni hernia repair. METHODS: The patients who underwent laparoscopic surgery with diagnosis of Morgagni hernia between 2016 and 2019 were evaluated retrospectively. RESULTS: Their mean age at diagnosis was 4,1 ± 2,6 years (1 year-...

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Autores principales: Anadolulu, Ali İhsan, Gerçel, Gonca, Kocaman, Osman Hakan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292882/
https://www.ncbi.nlm.nih.gov/pubmed/32551107
http://dx.doi.org/10.1016/j.amsu.2020.05.012
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author Anadolulu, Ali İhsan
Gerçel, Gonca
Kocaman, Osman Hakan
author_facet Anadolulu, Ali İhsan
Gerçel, Gonca
Kocaman, Osman Hakan
author_sort Anadolulu, Ali İhsan
collection PubMed
description AIM: We aimed to present our laparoscopic treatment experience in Morgagni hernia repair. METHODS: The patients who underwent laparoscopic surgery with diagnosis of Morgagni hernia between 2016 and 2019 were evaluated retrospectively. RESULTS: Their mean age at diagnosis was 4,1 ± 2,6 years (1 year-13 years). All patients were male. The presenting complaints were respiratory tract infection in 3 patients and vomiting in 3. Two patients were diagnosed incidentally. Associated Down's Syndrome was detected in 3 (38%) cases. The defect was left-sided in 7 (87.5%) patients and bilateral in 1 (12,5%). Omentum was herniated in 2 patients, colon and omentum were in 6 and colon, omentum and stomach were in one. All patients underwent primary repair extracorporeally by removing sutures from single incision, without removal of the hernia sac. There were no complications or recurrence in the mean 19,2 ± 15,8 months (6–42 months) follow-up period. CONCLUSIONS: Minimal invasive repair of Morgagni hernia is efficient and safe. It should be the first choice because of fast recovery and better cosmetic results. In this series, it was seen that leaving the hernia sac had no effect on early and late complications. Leaving the hernia sac may prevent potential complications due to unnecessary dissection.
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spelling pubmed-72928822020-06-17 Laparoscopic repair of Morgagni hernia in children Anadolulu, Ali İhsan Gerçel, Gonca Kocaman, Osman Hakan Ann Med Surg (Lond) Correspondence AIM: We aimed to present our laparoscopic treatment experience in Morgagni hernia repair. METHODS: The patients who underwent laparoscopic surgery with diagnosis of Morgagni hernia between 2016 and 2019 were evaluated retrospectively. RESULTS: Their mean age at diagnosis was 4,1 ± 2,6 years (1 year-13 years). All patients were male. The presenting complaints were respiratory tract infection in 3 patients and vomiting in 3. Two patients were diagnosed incidentally. Associated Down's Syndrome was detected in 3 (38%) cases. The defect was left-sided in 7 (87.5%) patients and bilateral in 1 (12,5%). Omentum was herniated in 2 patients, colon and omentum were in 6 and colon, omentum and stomach were in one. All patients underwent primary repair extracorporeally by removing sutures from single incision, without removal of the hernia sac. There were no complications or recurrence in the mean 19,2 ± 15,8 months (6–42 months) follow-up period. CONCLUSIONS: Minimal invasive repair of Morgagni hernia is efficient and safe. It should be the first choice because of fast recovery and better cosmetic results. In this series, it was seen that leaving the hernia sac had no effect on early and late complications. Leaving the hernia sac may prevent potential complications due to unnecessary dissection. Elsevier 2020-05-30 /pmc/articles/PMC7292882/ /pubmed/32551107 http://dx.doi.org/10.1016/j.amsu.2020.05.012 Text en © 2020 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Correspondence
Anadolulu, Ali İhsan
Gerçel, Gonca
Kocaman, Osman Hakan
Laparoscopic repair of Morgagni hernia in children
title Laparoscopic repair of Morgagni hernia in children
title_full Laparoscopic repair of Morgagni hernia in children
title_fullStr Laparoscopic repair of Morgagni hernia in children
title_full_unstemmed Laparoscopic repair of Morgagni hernia in children
title_short Laparoscopic repair of Morgagni hernia in children
title_sort laparoscopic repair of morgagni hernia in children
topic Correspondence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292882/
https://www.ncbi.nlm.nih.gov/pubmed/32551107
http://dx.doi.org/10.1016/j.amsu.2020.05.012
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