Laparoscopic and single incision laparoscopic repair of Morgagni hernia in adults

Background: In this study, we aimed to compare multiple versus single incision laparoscopic repair of Morgagni hernia in adults and to investigate effectiveness and feasibility of both techniques. Methods: Between January 2011 and March 2018, a total of 15 patients (5 males, 10 females; median age: 58.6 years; range, 36 to 70 years) who underwent laparoscopic or single-incision laparoscopic repair of Morgagni hernia were retrospectively analyzed. Demographic and clinical characteristics of patients, perioperative data, and treatment outcomes were evaluated. Results: The median follow-up was 38 (range, 11 to 84) months. Of the patients with Morgagni hernia, 12 were treated with laparoscopic and three were treated with single incision laparoscopic repair technique. Patient satisfaction was excellent for most of the patients in both groups. No recurrence was observed during follow-up. Conclusion: Morgagni hernia is a very rare type of hernia in adults. Laparoscopic mesh-reinforced primary repair of Morgagni hernia should be one of the first choice in patients, particularly with large hernias that would cause tension on edges of the diaphragm when closed. Single incision laparoscopic repair of Morgagni hernia is also another laparoscopic option with high patient satisfaction.

Erişkinlerde laparoskopik ve tek insizyonlu laparoskopik Morgagni herni tamiri

veya tek insizyonlu laparoskopik tamiri karşılaştırıldı ve her iki tekniğin etkinliği ve uygulanabilirliği araştırıldı. Çalışma planı: Ocak 2011 - Mart 2018 tarihleri arasında, Morgagni hernisi nedeniyle laparoskopik veya tek insizyonlu laparoskopik tamir yapılan toplam 15 hasta (5 erkek, 10 kadın; medyan yaş: 58.6; dağılım, 36-70 yıl) retrospektif olarak incelendi. Hastaların demografik ve klinik özellikleri, perioperatif verileri ve tedavi sonuçları değerlendirildi. Bulgular: Medyan takip süresi 38 (dağılım, 11-84) ay idi. Morgagni hernili hastaların 12’si laparoskopik ve üçü tek insizyonlu laparoskopik tamir tekniği ile tedavi edildi. Hasta memnuniyeti, her iki grupta da hastaların birçoğunda mükemmel idi. Takip süresince nüks izlenmedi. Sonuç: Morgagni hernisi erişkinlerde çok nadir görülen bir fıtık türüdür. Morgagni hernisinin laparoskopik meş takviyeli primer onarımı, özellikle primer onarıldığında diyafram kenarlarında gerilime neden olacak kadar büyük fıtığı olan hastalarda ilk tercihlerden biri olmalıdır. Morgagni hernisinin tek insizyonlu laparoskopik tamiri, yüksek hasta memnuniyeti ile diğer bir tedavi seçeneğidir.

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