Title Alternative A Morgagni hernia repaired laparoscopically using Ventralight ST® mesh
Author Murakami , Takayoshi | Fujimoto , Yoshimi | Murashima , Nobutaka | Nishina, Takuya | Sugiu, Kumi| Matsumoto, Takamasa |
Abstract A 78-year-old Japanese woman was referred to our hospital because of fecal occult blood. Barium enema and CT colonography revealed the herniation of the transverse colon and the greater omentum into the right hemithorax through a retrosternal defect. We diagnosed a Morgagni hernia, and we performed a laparoscopic hernia repair with a three-port approach. The invaginated transverse colon and omentum were easily reduced into the abdominal cavity. The size of the hernial orifice was estimated to be approx. 2.5×4 cm. We placed Ventralight ST® mesh over the hernial orifice without hernial sac resection, and we used the double-crown technique to fix the mesh with a hernia stapler. The postoperative course was uneventful, and the patient was discharged on the 5th postoperative day with no complications. There has been no recurrence at 2 years after the surgery. Laparoscopic repair is a safe, less-invasive and useful method for repairing a Morgagni hernia.
Keywords Morgagni 孔ヘルニア (Morgagni hernia) 胸骨後ヘルニア (retrosternal hernia) 腹腔鏡下手術 (laparoscopic repair) Ventralight ST®
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 35
End Page 39
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.35
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.35
NAID 130007642656