J Laparoendosc Adv Surg Tech A https://pubmed.ncbi.nlm.nih.gov/33979533/

. 2021 May 12. doi: 10.1089/lap.2021.0038. Online ahead of print.

Technique and Outcomes in Laparoscopic Repair of Morgagni Hernia in Adults

Angela M Kao ¹, Sullivan A Ayuso ¹, Ciara R Huntington ¹, William C Sherrill ¹, Lawrence N Cetrulo ¹, Paul D Colavita ¹, B Todd Heniford ¹Affiliations expand

• PMID: 33979533
• DOI: 10.1089/lap.2021.0038

Abstract

Background: Morgagni hernias (MHs) are rare anteromedial congenital diaphragmatic hernias. This study describes the effectiveness of a laparoscopic approach for these defects. Methods: A prospectively collected institutional database at a tertiary referral center was queried for patients (≥18 years) with MHs. Results: Fifteen adults underwent laparoscopic MH repair. Abdominal pain was the most common presentation (71.5%), and 2 patients (13.3%) presented with acute obstruction. Laparoscopic bridged mesh repair was the most common approach (66.7%) and was achieved by suturing a bridged synthetic mesh to the diaphragmatic portion of the defect and fixing it with transfascial sutures and/or tacks to the anterior abdominal wall. Primary suture repair was utilized for smaller defects. No mortalities or recurrences occurred after 20.2 months median follow-up. Conclusions: Laparoscopic synthetic mesh repair of adult MHs offers an effective hernia repair with minimal complications and no detected recurrences in long-term follow-up of this patient sample.

Keywords: Morgagni hernia; congenital diaphragmatic hernia; laparoscopic hernia repair; mesh repair; minimally invasive.