Park Adrian, Doyle Courtney
Department of Surgery, Anne Arundel Medical Center, 2000 Medical Parkway, Suite 105, Annapolis, MD, 21401, USA,
J Gastrointest Surg. 2014 Oct;18(10):1858-62. doi: 10.1007/s11605-014-2552-y. Epub 2014 Jun 5.
Surgical repair of Morgagni hernias is recommended given their historically high risk of incarceration. Traditionally, such repair has been undertaken via laparotomy or thoracotomy or more recently, thoracoscopically or laparoscopically using mesh. Here, we describe a laparoscopic approach to the management of Morgagni hernias achieving a primary tissue repair without mesh implantation. This technique allows for the general benefits of minimally invasive surgery, such as less postoperative pain, reduced wound complications, decreased duration of the hospital stay, as well as offering an alternative to mesh implantation and its associated potential complications.
鉴于莫尔加尼疝历来有较高的嵌顿风险,建议进行手术修复。传统上,此类修复通过开腹手术或开胸手术进行,或者最近采用胸腔镜或腹腔镜使用补片进行。在此,我们描述一种腹腔镜治疗莫尔加尼疝的方法,可实现无需植入补片的一期组织修复。该技术具有微创手术的一般优点,如术后疼痛减轻、伤口并发症减少、住院时间缩短,并且为补片植入及其相关潜在并发症提供了一种替代方法。