Atilla EROĞLU, Ali Bilal ULAŞ, Yener AYDIN

Morgagni hernisi tedavisinde laparoskopik yaklaşım

Amaç: Bu çalışmada, Morgagni hernisinin primer laparoskopik tamirinin etkinliği ve güvenliliği değerlendirildi. Çalışma planı: Bu retrospektif çalışmaya Ocak 2014 - Aralık 2019 tarihleri arasında Morgagni hernisi nedeniyle primer laparoskopik tamir yapılan toplam 12 hasta (4 erkek, 8 kadın; ort. yaş 56.5±14.9 yıl; dağılım 32-80 yıl) alındı. Tüm olgularda herni kesesi eksize edildi ve defekt emilemeyen sütürler ile primer olarak tamir edildi. Bulgular: Tüm hastalarda mükemmel sonuçlar alındı ve hastalar ortalama 4.6±1.3 günlük (dağılım, 3-7 gün) hastanede yatış süresi sonunda sorunsuz bir şekilde taburcu edildi. Hastaların hiçbirinde mortalite, morbidite veya nüks izlenmedi. Sonuç: Morgagni hernisinde primer laparoskopik tamir, deneyimli ellerde cerrahi tamire kıyasla, etkili ve güvenli bir yaklaşımdır.

Laparoscopic approach in the treatment of Morgagni hernia

Background: In this study, we aimed to evaluate the efficacy andsafety of primary laparoscopic repair of Morgagni hernia.Methods: In this retrospective study, a total of12 patients (4 males, 8 females; mean age 56.5±14.9 years;range, 32 to 80 years) who underwent primary laparoscopicrepair for Morgagni hernia between January 2014 andDecember 2019 were included. In all cases, the hernia sacwas excised and the defect was repaired primarily withnon-absorbable sutures.Results: All patients had excellent outcomes and wereuneventfully discharged from the hospital after a mean length ofhospital stay of 4.6±1.3 days (range, 3 to 7 days). No mortality,morbidity or recurrence were observed in any of the patients.Conclusion: The primary laparoscopic repair is an effectiveand safe approach to surgical repair for Morgagni hernia inexperienced hands.

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