París F, Tarazona V, Casillas M, Blasco E, Cantó A, Pastor J, Acosta A
Thorax. 1973 Sep;28(5):631-6. doi: 10.1136/thx.28.5.631.
, , 631-636. Nine patients with Margagni's hernia of the diaphragm are reported, seven of whom have been operated on. Four patients had gastrointestinal symptoms, two respiratory symptoms, and one retrosternal pain; the other two were asymptomatic. In the first case the diagnosis was made at the time of thoracotomy, in the other eight it was suggested by radiological studies. The standard midline epigastric incision was used for repair in four cases and thoracotomy in two; the last patient was operated on through a preperitoneal subxiphoid route. This route has the advantage of not requiring a wide incision of peritoneum.
报道了9例马加尼膈疝患者，其中7例接受了手术。4例有胃肠道症状，2例有呼吸道症状，1例有胸骨后疼痛；另外2例无症状。第1例在开胸手术时确诊，其他8例由影像学检查提示。4例采用标准的上腹部正中切口进行修补，2例采用开胸手术；最后1例患者通过剑突下经腹膜前途径进行手术。该途径的优点是不需要广泛切开腹膜。
