Escarcega Pastor, Riquelme Mario A, Lopez Secundino, González Alma D, Leon Victor Y, Garcia Luis R, Cabrera Hugo, Solano Heriberto, Garcia Carlos, Espinosa Jorge R, Geistkemper Christine L, Elizondo Rodolfo A
1 Department of Pediatric Surgery, Centro de Alta Especialidad Dr. Rafael Lucio , Veracruz, Mexico .
2 Department of Pediatric Surgery, Christus Muguerza/UdeM , Monterrey, Mexico .
J Laparoendosc Adv Surg Tech A. 2018 Aug;28(8):1019-1022. doi: 10.1089/lap.2017.0621. Epub 2018 Apr 5.
Morgagni Larray hernia (MLH) is a very rare disease, which accounts for less than 5% of all congenital diaphragmatic hernias. Laparoscopic repair has been widely used and accepted as a treatment option for patients with this disease. The purpose of our study is to analyze the outcomes of patients with MLH who underwent laparoscopic repair, and to evaluate their postoperative course for outcome, morbidity, and mortality.
A retrospective chart review was performed of patients who were diagnosed with MLH and treated laparoscopically by 10 board-certified pediatric surgeons.
Fourteen patients were included in the study. One patient died 1 month postoperatively due to respiratory complications unrelated to the surgery. Thirteen patients were followed for a median of 1.75 years (interquartile 0.3-6.95). There was a single recurrence, which resulted in a partial resection of the hernia sac and repaired without a mesh. We had a success rate of 92.86%.
MLH is a rare congenital diaphragmatic hernia that is usually diagnosed incidentally. Laparoscopic repair has high success rates and is a viable option for patients with this pathology.
莫尔加尼·拉雷疝（MLH）是一种非常罕见的疾病，占所有先天性膈疝的比例不到5%。腹腔镜修补术已被广泛应用并被接受为治疗该病患者的一种选择。我们研究的目的是分析接受腹腔镜修补术的MLH患者的治疗结果，并评估他们术后的转归、发病率和死亡率。
对10名获得委员会认证的小儿外科医生诊断为MLH并接受腹腔镜治疗的患者进行回顾性病历审查。
14名患者纳入研究。1例患者术后1个月因与手术无关的呼吸并发症死亡。13名患者的中位随访时间为1.75年（四分位间距0.3 - 6.95）。有1例复发，导致疝囊部分切除且未使用补片进行修补。我们的成功率为92.86%。
MLH是一种罕见的先天性膈疝，通常为偶然诊断。腹腔镜修补术成功率高，是患有这种疾病的患者的可行选择。
