Laparoscopic repair of a Morgagni-Larrey hernia: report of three cases

• Published in: Surgery today (Tokyo, Japan) Vol. 32; no. 10; pp. 902 - 905
• Main Authors: Ipek, Turgut, Altinli, Ediz, Yuceyar, Serdar, Erturk, Suphan, Eyuboglu, Erhun, Akcal, Tarik
• Format: Journal Article
• Language: English
• Published: Japan 01.10.2002
• Subjects: Adult; Female; Hernia, Diaphragmatic - surgery; Hernias, Diaphragmatic, Congenital; Humans; Laparoscopy; Male; Middle Aged; Polypropylenes; Surgical Mesh
• ISSN: 0941-1291; 1436-2813
• DOI: 10.1007/s005950200177

Morgagni-Larrey hernia is a rare type of diaphragmatic hernia, the diagnosis of which is made incidentally by routine chest X-ray film. We describe a technique for the laparoscopic repair of Morgagni-Larrey hernia which was successfully performed in three adult patients; two women and one man. Two of the patients were asymptomatic and had herniation of only omentum into the right hemithorax; however, one was symptomatic and had herniation of the omentum and large bowel. Tension-free closure of the defects was done using Prolene mesh with a hernia stapler, helical fastener, and Endostitch. There were no early complications and the patients were discharged on the fourth postoperative day. The mean follow-up period was 41 months, and there has been no late morbidity or mortality related to this procedure. Using a laparoscopic approach to repair a Morgagni-Larrey hernia provides an excellent view of the surgical field and allows easy manipulation with minimal surgical trauma, followed by rapid recovery of the patient.