Ikarashi Masahito, Matsuda Minoru, Murayama Isao, Fujii Masashi, Takayama Tadatoshi
Department of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan.
Asian J Endosc Surg. 2015 May;8(2):216-8. doi: 10.1111/ases.12161.
A 78-year-old woman was admitted to another hospital with vomiting. Chest X-ray showed an abnormal shadow in the lower right lung field, and CT indicated a Morgagni hernia containing the stomach and transverse colon. The patient was transferred to our hospital and underwent laparoscopic surgery. After the hernia contents were repositioned into the abdominal cavity, we repaired the hernia orifice with a prosthetic mesh to achieve a tension-free repair. There were no complications after the surgery, and there has been no recurrence. The patient has remained free of clinical symptoms since 10 months after the surgery. Laparoscopic repair with a prosthetic mesh for Morgagni hernia is a simple and safety procedure for elderly patients.
一名78岁女性因呕吐入住另一家医院。胸部X线显示右下肺野有异常阴影,CT显示为包含胃和横结肠的 Morgagni 疝。患者转至我院并接受了腹腔镜手术。将疝内容物复位至腹腔后,我们用人工补片修补疝孔以实现无张力修补。术后无并发症,且未复发。自手术后10个月起,患者一直无临床症状。对于老年患者,采用人工补片进行腹腔镜修补 Morgagni 疝是一种简单且安全的手术。