Research: Robotic Morgagni’s hernia repair in adults – A single centre experience

Asian Cardiovasc Thorac Ann. 2023 Mar;31(3):253-258. doi: 10.1177/02184923231159088. Epub 2023 Feb 24.

Mohan Venkatesh Pulle 1Belal Bin Asaf 1Harsh Vardhan Puri 1Sukhram Bishnoi 1Vivek Vishwas Mundale 1Sumit Bangeria 1Arvind Kumar 1

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Background: This study was aimed at reporting the surgical outcomes and evaluating the safety and feasibility of robotic repair of Morgagni’s repair in adults.

Methods: This is a retrospective analysis of seven cases of Morgagni’s hernia in adults, managed by robotic method in a tertiary-level thoracic surgery centre over 9 years. A detailed analysis of all perioperative variables including complications was carried out.

Results: A total of seven patients underwent Robotic Morgagni’s hernia repair during the study period. Males (71.4%) were predominant in the patient cohort. Median age group was 33 years (range: 28-78 years). All patients were pre-obese with median body mass index of 29.4 (range: 27.5-29.9). All patients underwent robotic-assisted hernia repair with no conversions. Omentum was the most common hernial content (100%). In all cases, the defect was reinforced with a composite mesh. Median operative time was 140 min (range: 120-160). Median hospital stay of 3 days (range: 2-4 days). No post-procedural complications. All the patients had complete resolution of presenting symptoms. No recurrence was noted in the median follow-up period of 32 months (range: 6-78 months).

Conclusion: Robotic-assisted surgical repair of Morgagni’s hernia in adults is safe, feasible and effective. However, studies with larger sample size and multi-institutional collaboration are recommended for further conclusions.

Keywords: Morgagni diaphragmatic hernia; adults; robotic surgery; surgical outcomes.

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