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- Title
Laparoscopic-assisted repair of Morgagni hernia in children.
- Authors
Bawazir, Osama A.; Mahomed, Anies; Fayyad, Amira; Bagaryn, Elham; Bawazir, Abdullah; Mandora, Rahaf
- Abstract
Background: Morgagni hernia (MH) is a rare diaphragmatic hernia with nonspecific symptoms and variable presentation. MH is managed surgically via laparotomy or a thoracotomy. Recently, laparoscopy was described for the repair of MH. The objective of this study is to report our institutional experience in laparoscopic repair of MH in infants and children. Results: Twenty-five patients with MH were included; 17 of them were males (68%). Their median age at the time of diagnosis was 18 months. Sixteen patients (64%) presented with a recurrent chest infection. MH was on the right side in 8 patients, left side in 2, and central in 12, and 3 patients had bilateral hernias. Eleven patients (44%) had congenital heart disease, 10 (40%) had Down’s syndrome, and 2 (4%) had malrotation of the bowel. The median size of the hernia defect was 3 × 3.5 cm2, and the most common content was the colon (n = 19). One patient with Down’s syndrome developed recurrence and underwent open repair. The median operative time was 95 min. The postoperative recovery was uneventful, and the average postoperative stay was 3 days. The median follow-up was 4.5 years, and there was no reported mortality. Conclusions: Morgagni hernia is commonly associated with other congenital anomalies. Laparoscopic repair of Morgagni hernia in children is feasible with excellent postoperative outcomes.
- Publication
Annals of Pediatric Surgery, 2020, Vol 16, Issue 1, p1
- ISSN
1687-4137
- Publication type
Article
- DOI
10.1186/s43159-020-00022-2