Schubert Alec, Ramos Michael Gonzalez
Baptist Health Medical Group, Department of General Surgery, Miami, FL, USA.
J Surg Case Rep. 2023 Jan 19;2023(1):rjac486. doi: 10.1093/jscr/rjac486. eCollection 2023 Jan.
Morgagni hernia's are relatively rare congenital diaphragmatic hernias that are typically described in pediatric populations. It is rare for patients to present with symptoms related to this defect in adulthood. Several techniques have been successfully utilized. This case report offers the successful utilization of the robotic assisted transabdominal preperitoneal approach (r-TAPP) for primary repair of a symptomatic Morgagni hernia in a high risk patient. To date, there are few publications describing the r-TAPP technique for Morgagni hernia repair, and no publications were found in the context described in our case. From this, we are able to provide increasing evidence of the efficacy and deployment of r-TAPP in age variable presentation of this pathology.
莫尔加尼疝是相对罕见的先天性膈疝,通常在儿科人群中被描述。成年患者出现与此缺陷相关症状的情况很少见。已经成功应用了几种技术。本病例报告展示了在一名高危患者中成功使用机器人辅助经腹腹膜前修补术(r-TAPP)对有症状的莫尔加尼疝进行一期修复。迄今为止,很少有关于使用r-TAPP技术修复莫尔加尼疝的出版物,在我们病例所描述的情况下未发现相关出版物。据此,我们能够提供越来越多的证据,证明r-TAPP在这种病理情况的不同年龄表现中的有效性和应用情况。