Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures
Morgagni hernia is a congenital diaphragmatic hernia. It is rare, usually asymptomatic, and most of the times incidentally discovered during adulthood. A 77-year-old female patient was incidentally diagnosed with Morgagni hernia. Meanwhile, because of abdominal pain she resorted to the emergency dep...
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| Veröffentlicht in: | BMJ case reports 2019-01, Vol.12 (1), p.e227600 |
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| description | Morgagni hernia is a congenital diaphragmatic hernia. It is rare, usually asymptomatic, and most of the times incidentally discovered during adulthood. A 77-year-old female patient was incidentally diagnosed with Morgagni hernia. Meanwhile, because of abdominal pain she resorted to the emergency department. A CT scan was performed. A laparoscopic repair with extra-abdominal transfascial sutures was conducted. At 3-month follow-up, the patient is asymptomatic. Surgical repair of Morgagni hernia is always indicated because of the risk of strangulation of hernia contents. Minimal invasive surgery is the gold standard, and laparoscopy is the preferred approach. Morgagni hernia does not have an anterior rim, which makes it technically difficult to close the defect. Extra-abdominal transfascial technique was used to repair the defect, eliminating the need for intracorporeal sutures. For small defects, simple repair with non-absorbable sutures using extra-abdominal transfascial technique is easy and efficient. |
| doi_str_mv | 10.1136/bcr-2018-227600 |
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It is rare, usually asymptomatic, and most of the times incidentally discovered during adulthood. A 77-year-old female patient was incidentally diagnosed with Morgagni hernia. Meanwhile, because of abdominal pain she resorted to the emergency department. A CT scan was performed. A laparoscopic repair with extra-abdominal transfascial sutures was conducted. At 3-month follow-up, the patient is asymptomatic. Surgical repair of Morgagni hernia is always indicated because of the risk of strangulation of hernia contents. Minimal invasive surgery is the gold standard, and laparoscopy is the preferred approach. Morgagni hernia does not have an anterior rim, which makes it technically difficult to close the defect. Extra-abdominal transfascial technique was used to repair the defect, eliminating the need for intracorporeal sutures. For small defects, simple repair with non-absorbable sutures using extra-abdominal transfascial technique is easy and efficient.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2018-227600</identifier><identifier>PMID: 30700463</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Aged ; Case reports ; Data collection ; Defects ; Diaphragm - diagnostic imaging ; Diaphragm - surgery ; Female ; Hernias ; Hernias, Diaphragmatic, Congenital - diagnostic imaging ; Hernias, Diaphragmatic, Congenital - surgery ; Humans ; Laparoscopy ; Laparoscopy - methods ; Medical imaging ; Ostomy ; Prostheses ; Rare Disease ; Surgery ; Sutures ; Tomography, X-Ray Computed - methods</subject><ispartof>BMJ case reports, 2019-01, Vol.12 (1), p.e227600</ispartof><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b456t-8f5be8c0477141e6ae567832a24da4020c9a5af0511dce638c474020b89db7f43</citedby><cites>FETCH-LOGICAL-b456t-8f5be8c0477141e6ae567832a24da4020c9a5af0511dce638c474020b89db7f43</cites><orcidid>0000-0002-3541-9974</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352826/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352826/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30700463$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Costa Almeida, Carlos</creatorcontrib><creatorcontrib>Caroço, Teresa Vieira</creatorcontrib><creatorcontrib>Nogueira, Oriana</creatorcontrib><creatorcontrib>Infuli, Armando</creatorcontrib><title>Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Morgagni hernia is a congenital diaphragmatic hernia. It is rare, usually asymptomatic, and most of the times incidentally discovered during adulthood. A 77-year-old female patient was incidentally diagnosed with Morgagni hernia. Meanwhile, because of abdominal pain she resorted to the emergency department. A CT scan was performed. A laparoscopic repair with extra-abdominal transfascial sutures was conducted. At 3-month follow-up, the patient is asymptomatic. Surgical repair of Morgagni hernia is always indicated because of the risk of strangulation of hernia contents. Minimal invasive surgery is the gold standard, and laparoscopy is the preferred approach. Morgagni hernia does not have an anterior rim, which makes it technically difficult to close the defect. Extra-abdominal transfascial technique was used to repair the defect, eliminating the need for intracorporeal sutures. For small defects, simple repair with non-absorbable sutures using extra-abdominal transfascial technique is easy and efficient.</description><subject>Abdomen</subject><subject>Aged</subject><subject>Case reports</subject><subject>Data collection</subject><subject>Defects</subject><subject>Diaphragm - diagnostic imaging</subject><subject>Diaphragm - surgery</subject><subject>Female</subject><subject>Hernias</subject><subject>Hernias, Diaphragmatic, Congenital - diagnostic imaging</subject><subject>Hernias, Diaphragmatic, Congenital - surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Medical imaging</subject><subject>Ostomy</subject><subject>Prostheses</subject><subject>Rare Disease</subject><subject>Surgery</subject><subject>Sutures</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkUtLxDAUhYMoKuranRTciFDNq0m7EWTwBSOCKLgLt5l0JkPb1KT18e9NGRV1YzbJTb57uDkHoX2CTwhh4rTUPqWY5CmlUmC8hraJzGQqC_y0_uO8hfZCWOK4GOE5Z5toi2GJMRdsG91PoQPvgnad1Yk3HVifuCqB5Nb5OcxbmyyMby0kr7ZfJOat95BCOXONbaFOYtWGCoK2sQhDP3gTdtFGBXUwe5_7Dnq8vHiYXKfTu6ubyfk0LXkm-jSvstLkGnMpCSdGgMmEzBkFymfAMcW6gAwqnBEy00awXHM5Xpd5MStlxdkOOlvpdkPZmMi0cZpadd424N-VA6t-v7R2oebuRQmW0ZyKKHD0KeDd82BCrxobtKlraI0bgqJEFlxEa0f08A-6dIOPDoxUwWW0ltBIna4oHR0N3lTfwxCsxshUjEyNkalVZLHj4OcfvvmvgCJwvALKZvmv2gfWOp9o</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Costa Almeida, Carlos</creator><creator>Caroço, Teresa Vieira</creator><creator>Nogueira, Oriana</creator><creator>Infuli, Armando</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3541-9974</orcidid></search><sort><creationdate>20190101</creationdate><title>Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures</title><author>Costa Almeida, Carlos ; Caroço, Teresa Vieira ; Nogueira, Oriana ; Infuli, Armando</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b456t-8f5be8c0477141e6ae567832a24da4020c9a5af0511dce638c474020b89db7f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abdomen</topic><topic>Aged</topic><topic>Case reports</topic><topic>Data collection</topic><topic>Defects</topic><topic>Diaphragm - diagnostic imaging</topic><topic>Diaphragm - surgery</topic><topic>Female</topic><topic>Hernias</topic><topic>Hernias, Diaphragmatic, Congenital - diagnostic imaging</topic><topic>Hernias, Diaphragmatic, Congenital - surgery</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Medical imaging</topic><topic>Ostomy</topic><topic>Prostheses</topic><topic>Rare Disease</topic><topic>Surgery</topic><topic>Sutures</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costa Almeida, Carlos</creatorcontrib><creatorcontrib>Caroço, Teresa Vieira</creatorcontrib><creatorcontrib>Nogueira, Oriana</creatorcontrib><creatorcontrib>Infuli, Armando</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costa Almeida, Carlos</au><au>Caroço, Teresa Vieira</au><au>Nogueira, Oriana</au><au>Infuli, Armando</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>12</volume><issue>1</issue><spage>e227600</spage><pages>e227600-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Morgagni hernia is a congenital diaphragmatic hernia. It is rare, usually asymptomatic, and most of the times incidentally discovered during adulthood. A 77-year-old female patient was incidentally diagnosed with Morgagni hernia. Meanwhile, because of abdominal pain she resorted to the emergency department. A CT scan was performed. A laparoscopic repair with extra-abdominal transfascial sutures was conducted. At 3-month follow-up, the patient is asymptomatic. Surgical repair of Morgagni hernia is always indicated because of the risk of strangulation of hernia contents. Minimal invasive surgery is the gold standard, and laparoscopy is the preferred approach. Morgagni hernia does not have an anterior rim, which makes it technically difficult to close the defect. Extra-abdominal transfascial technique was used to repair the defect, eliminating the need for intracorporeal sutures. For small defects, simple repair with non-absorbable sutures using extra-abdominal transfascial technique is easy and efficient.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>30700463</pmid><doi>10.1136/bcr-2018-227600</doi><orcidid>https://orcid.org/0000-0002-3541-9974</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Aged Case reports Data collection Defects Diaphragm - diagnostic imaging Diaphragm - surgery Female Hernias Hernias, Diaphragmatic, Congenital - diagnostic imaging Hernias, Diaphragmatic, Congenital - surgery Humans Laparoscopy Laparoscopy - methods Medical imaging Ostomy Prostheses Rare Disease Surgery Sutures Tomography, X-Ray Computed - methods |
| title | Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures |
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