Cubas Robert, Garcia Manuel, Mukherjee Kaushik
University of Miami / Jackson Memorial Hospital.
Sanatorio Allende, Universidad Catolica de Cordoba.
Rev Fac Cien Med Univ Nac Cordoba. 2021 Mar 12;78(1):91-94. doi: 10.31053/1853.0605.v78.n1.28299.
Morgagni hernia is a relatively uncommon anterior diaphragmatic defect, particularly in adults. We describe the case of a patient who presented with an incarcerated Morgagni hernia and was repaired by an Acute Care Surgery service.
The patient is a 29 year old male who presented with a picture of bowel obstruction. CT scan revealed a Morgagni hernia with incarcerated stomach and colon. He was taken to the operating room for robotic repair. The hernia was reduced. The defect measured 10 x 7cm, a composite mesh was interposed, and sutured in place. The patient was discharged on postoperative day 5 and has done well at 1 year follow up.
Robotic surgery offer the chance to apply minimally invasive techniques for urgent surgical care. This is the first reported case of an incarcerated Morgagni hernia repaired urgently using robotic techniques, and performed by acute care surgeons.
莫尔加尼疝是一种相对罕见的前膈缺损，在成人中尤为少见。我们描述了一例患有嵌顿性莫尔加尼疝的患者，由急性护理外科团队进行修复的病例。
该患者为一名29岁男性，表现为肠梗阻症状。CT扫描显示为莫尔加尼疝，伴有嵌顿的胃和结肠。他被送往手术室进行机器人辅助修复。疝内容物回纳。缺损大小为10×7厘米，置入复合补片并缝合固定。患者术后第5天出院，1年随访效果良好。
机器人手术为紧急外科治疗提供了应用微创技术的机会。这是首例报道的采用机器人技术紧急修复嵌顿性莫尔加尼疝并由急性护理外科医生实施的病例。
