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Morgagni hernia is a rare cause of diaphragmatic hernia. There are few reports of laparoscopic repair in the literature. Tension-free hernia closure with synthetic mesh reduces recurrence but occasionally results in complications, such as visceral stricture, erosion or perforation. We report a case of successful laparoscopic repair of a very large symptomatic Morgagni hernia in a 78-year-old patient, treated by positioning a gradually resorbable mesh made from porcine SIS (Surgisis Soft Tissue Graft device--Cook Inc, Bloomington, Ind). After surgery, the patient reported an immediate, marked improvement in clinical symptoms. During the postoperative course, pleural and pericardial leakage occurred. The pleural leakage was immediately drained with thoracentesis, and the pericardial leakage was treated conservatively. No other complications occurred after patient discharge. One year later, the patient was in very good general condition. No recurrence was documented with abdominal CT scan, which also demonstrated connective tissue proliferation that was progressively replacing the prosthesis. Laparoscopic repair is a safe, efficacious procedure for the treatment of diaphragmatic hernia, and presents all the advantages of minimally invasive surgery. The use of new types of material featuring marked biocompatibility and gradual reabsorbability characteristics offers considerable benefits.
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J Minim Access Surg
December 2024
Department of General Surgery, Shreeji Hospital, Bhilad-Valsad, Gujarat, India.
Background: In recent years, laparoscopic hernia repair, i.e. transabdominal pre-peritoneal and totally extraperitoneal repairs have been considered the method of choice, especially for recurrent hernias after open repair or bilateral inguinal hernias.
View Article and Find Full Text PDFJ Minim Access Surg
December 2024
Department of General Surgery, Buenos Aires British Hospital, Buenos Aires, Argentina.
Introduction: In laparoscopic inguinal hernia repair (LIHR), fixation means for meshes (FMMs) are commonly used to reduce hernia recurrence risk. Their use may result in post-operative pain (PP) and may even increase surgical time (ST). Recently, self-gripping meshes (SGMs) have been developed, which leave aside fixation devices; they could potentially reduce PP and even decrease ST.
View Article and Find Full Text PDFPediatr Surg Int
December 2024
Heim Pál National Pediatric Institute, Üllői Út 86, Budapest, 1089, Hungary.
Purpose: The most common surgical intervention in childhood is inguinal hernioplasty. The advantage of laparoscopic approach is still questionable, therefore our aim was to compare open hernia repair (OHR) and PIRS (Percutaneous Internal Ring Suturing) technique at the authors' institute.
Methods: An observational retrospective cohort study was conducted between 2013 and 2021.
Khirurgiia (Mosk)
December 2024
Kuban State Medical University, Krasnodar, Russia.
One of the most common gastrointestinal diseases is esophageal hiatal hernia. It is the third most common disease after peptic ulcer and cholecystitis. We present surgical treatment of a patient with fixed axial cardiofundal hiatal hernia and previous laparoscopic repair of large hiatal hernia.
View Article and Find Full Text PDFKhirurgiia (Mosk)
December 2024
Pirogov Russian National Research Medical University, Moscow, Russia.
Objective: To evaluate the long-term outcomes of laparoscopic inguinal hernia repair.
Material And Methods: A retrospective cohort study included patients after laparoscopic elective inguinal hernia repair in 2019. Telephone survey of patients was conducted in 2023 to assess the incidence of recurrence and chronic pain.
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