Ipek Turgut, Altinli Ediz, Yuceyar Serdar, Erturk Suphan, Eyuboglu Erhun, Akcal Tarik
Department of General Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
Surg Today. 2002;32(10):902-5. 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.
莫尔加尼-拉雷疝是一种罕见的膈疝类型，通常通过常规胸部X光片偶然诊断出来。我们描述了一种腹腔镜修补莫尔加尼-拉雷疝的技术，该技术已在三名成年患者（两名女性和一名男性）中成功实施。其中两名患者无症状，仅大网膜疝入右胸腔；然而，另一名患者有症状，大网膜和大肠均发生疝出。使用普理灵补片、疝吻合器、螺旋固定器和Endostitch进行无张力缺损闭合。术后无早期并发症，患者于术后第四天出院。平均随访期为41个月，未出现与该手术相关的晚期发病率或死亡率。采用腹腔镜方法修补莫尔加尼-拉雷疝可提供极佳的手术视野，便于操作且手术创伤极小，随后患者可快速康复。
