Laparosc Endosc Surg Sci . 2020; 27(1): 34-36 | DOI: 10.14744/less.2020.32154

Laparoscopic treatment of morgagni hernia: Two case reports

Emrah Akýn¹, Fatih Altýntoprak², Muhammet Burak Kamburoðlu², Metin Ertem³, Fehmi Çelebi^2
1Department of General Surgery, Sakarya Training and Research Hospital, Sakarya, Turkey
²Department of General Surgery, Sakarya University Faculty of Medicine, Sakarya, Turkey
³Department of General Surgery, Cerrahpasa Faculty of Medicine, Istanbul, Turkey

Morgagni hernias account for only 2–3% of all diaphragmatic hernias, and most of them (91%) are right-sided. Most Morgagni hernias are diagnosed in childhood, but rarely diagnosis may be late because they can be asymptomatic or present nonspecific-nonrespiratory symptoms. Thus, Morgagni hernia diagnosis is incidental in the majority of adulthood cases. The defect arises from a fusion failure of the diaphragm with the central arches. Surgery is the main treatment modality of the Morgagni hernia due to defect enlargement and strangulation- incarceration risks. In this paper, we present two Morgagni hernia cases treated with laparoscopic surgery. Minimal invasive techniques can be used in Morgagni hernia with all advantages.

Keywords: Laparoscopy, morgagnihernia; minimallyinvasivesurgery.

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Morgagni Hernisinin Laparoskopik Tedavisi: 2 Vaka Sunumu

Emrah Akýn¹, Fatih Altýntoprak², Muhammet Burak Kamburoðlu², Metin Ertem³, Fehmi Çelebi^2
1Sakarya Eðitim Araþtýrma Hastanesi, Genel Cerrahi Kliniði, Sakarya, Türkiye
²Sakarya Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Sakarya, Türkiye
³Cerrahpaþa Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Istanbul, Türkiye

Morgagni Hernisi tüm diafragmatik hernilerinin %2-3’ünü oluþturur ve genelde (%91’i) sað taraflýdýr. Çoðu çocukluk çaðýnda taný konulur fakat asemptomatik olmalarý veya nonspesifik solunumsal þikayetleri nedeniyle taný bazen gecikebilir. Fýtýk defekti diaframýn orta hatta birleþmesinde hata olmasý sonucu oluþur. Defektin büyümesi, organlarýn inkarserasyonu veya strangülasyonu riskine baðlý olarak cerrahi tek tedavi seçeneðidir. Bu yazýda, laparoskopik olarak tedavi ettiðimiz iki adet Morgagni hernisi vakasýný sunmayý amaçladýk. Minimal invaziv cerrahi tüm avantajlarý ile Morgagni hernisi tedavisinde kullanýlabilir

Anahtar Kelimeler: Laparoskopi, morgagnihernisi; minimalinvazivcerrahi.

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