Laparoscopic Prosthetic Mesh Repair of Morgagni Hernia Containing Liver Lobe

Fabio Pacifico1*, Maurizio Russo1, Michele Schettino1, Federica Mastella1, Giovanni Fontanella2 and Francesco Giuseppe Biondo1

1Department of General Surgery, Sacred Heart of Jesus Hospital, Italy
2Department of Radiology, Sacred Heart of Jesus Hospital, Italy

^*Correspondance to: Fabio Pacifico 

 PDF  Full Text DOI: 10.25107/2474-1647.2831

Abstract

Liver protrusion in Morgagni hernia is very rare pathology that could be undiagnosed and remain silent for many years. We report a 46 old female with diaphragmatic right anterior defect that was admitted for dysphagia, dyspnea and heart burn. CT scan revealed a transdiaphragmatic protrusion of omentum and liver lobe in thorax. Surgery is mandatory and laparoscopy is a gold standard approach in adult and in children. The procedure consists in a hernial sac plicature by self-anchoring surgical sutures. Tension-free closure of the defect was carried out using a partial absorbable mesh placed with absorbable tacks. The patient was discharged home on post operative day 3 without complications. There was no recurrence in symptoms after 18 months from surgery

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Cite the article

Pacifico F, Russo M, Schettino M, Mastella F, Fontanella G, Giuseppe Biondo F. Laparoscopic Prosthetic Mesh Repair of Morgagni Hernia Containing Liver Lobe. Clin Surg. 2020; 5: 2831.