Technique and Outcomes in Laparoscopic Repair of Morgagni Hernia in Adults
| العنوان: | Technique and Outcomes in Laparoscopic Repair of Morgagni Hernia in Adults |
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| المؤلفون: | Ciara R. Huntington, Lawrence N Cetrulo, Sullivan A. Ayuso, Paul D. Colavita, Angela M. Kao, B. Todd Heniford, William C. Sherrill |
| المصدر: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 31:814-819 |
| بيانات النشر: | Mary Ann Liebert Inc, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, Abdominal pain, medicine.medical_specialty, Databases, Factual, medicine.medical_treatment, Diaphragm, Diaphragmatic breathing, Abdominal wall, 03 medical and health sciences, 0302 clinical medicine, Recurrence, medicine, Humans, Hernia, Prospective Studies, Herniorrhaphy, Aged, Sutures, Mesh repair, business.industry, Abdominal Wall, Suture Techniques, Congenital diaphragmatic hernia, Middle Aged, Surgical Mesh, Hernia repair, medicine.disease, Abdominal Pain, Surgery, Treatment Outcome, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Female, Laparoscopy, 030211 gastroenterology & hepatology, medicine.symptom, Presentation (obstetrics), Hernias, Diaphragmatic, Congenital, business |
| الوصف: | 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. |
| تدمد: | 1557-9034 1092-6429 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d1962ce9779570cad5659f7744b94d51 https://doi.org/10.1089/lap.2021.0038 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....d1962ce9779570cad5659f7744b94d51 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15579034 10926429 |
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