Kaida Takeshi, Ikeda Atsushi, Shimoda Hirofumi, Sako Hiroyuki, Uchida Hiroshi, Wada Masahiro, Ikeda Ken, Okusawa Seijiro, Watanabe Masahiko
Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgery, Sanokousei General Hospital, Sano, Japan.
Asian J Endosc Surg. 2014 Nov;7(4):323-6. doi: 10.1111/ases.12120.
We report a case of Morgagni hernia in which the patient underwent laparoscopic mesh repair. A 65-year-old woman presented with an abnormal shadow in the right lower lung field on a routine medical checkup. CT showed that the transverse colon passed between the liver and abdominal wall, and herniated into the thoracic cavity. Simple closure was precluded by the large hernial orifice. We therefore performed laparoscopic repair using a Parietex Optimized Composite Mesh. The double-crown technique was used to fix the margin of the mesh to the region around the hernial orifice. Our procedure for repair of a Morgagni hernia with a large hernial orifice is safe and minimally invasive, and it may effectively prevent recurrence.
我们报告一例莫尔加尼疝患者接受腹腔镜补片修补术的病例。一名65岁女性在常规体检时发现右下肺野有异常阴影。CT显示横结肠经肝脏与腹壁之间通过，并疝入胸腔。由于疝孔较大，无法进行单纯缝合。因此，我们使用Parietex优化复合补片进行腹腔镜修补。采用双冠技术将补片边缘固定于疝孔周围区域。我们采用的针对大疝孔莫尔加尼疝的修补方法安全且微创，可能有效预防复发。
