Skip to main content

Robotic Assisted Morgagni Hernia Repair

  • Chapter
  • First Online:
Robotic Assisted Hernia Repair

Abstract

Morgagni hernias are a very rare congenital defect of the antero-medial portion of the diaphragm. These are named after the Italian anatomist Giovanni Morgagni who described the entity in 1769. These hernias represent <3% of all hernias of the diaphragm. When diagnosed, the surgical repair is generally recommended to avoid the risk of strangulation. This chapter discusses patient selection, operating room setup as well as intra-operative considerations important in the robotic repair of these unusual hernias.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Morgagni G. The seats and causes of diseases investigated by anatomy; in five books, containing A Great Variety of Dissections, with Remarks. To Which are Added Very Accurate and Copious Indexes of the Principal Things and Names therein contained. Translated from the Latin of John Baptist Morgagni, Chief Professor of Anatomy, and President of the University at Padua, by Benjamin Alexander, M. D. in Three Volumes. London: printed for A. Millar; and T. Cadell, his Successor, in the Strand; and Johnson and Payne, in Pater-Noster Row; MDCCLXIX. [1769].

    Google Scholar 

  2. Minneci PC, Deans KJ, Kim P, Mathisen DJ. Foramen of Morgagni hernia: changes in diagnosis and treatment. Ann Thorac Surg. 2004;77(6):1956–9.

    Article  Google Scholar 

  3. Horton JD, Hofmann LJ, Hetz SP. Presentation and management of Morgagni hernias in adults: a review of 298 cases. Surg Endosc. 2008;22(6):1413–20.

    Article  Google Scholar 

  4. Escarcega P, Riquelme MA, Lopez S, Gonzalez AD, Leon VY, Garcia LR, et al. Multi-institution case series of pediatric patients with laparoscopic repair of Morgagni hernia. J Laparoendosc Adv Surg Tech A. 2018;28(8):1019–22.

    Article  Google Scholar 

  5. Tarcoveanu E, Georgescu S, Vasilescu A, Andronic D, Danila N, Lupascu C, et al. Laparoscopic management in Morgagni hernia - short series and review of literature. Chirurgia (Bucur). 2018;113(4):551–7.

    Article  Google Scholar 

  6. Al-Salem AH, Zamakhshary M, Al Mohaidly M, Al-Qahtani A, Abdulla MR, Naga MI. Congenital Morgagni’s hernia: a national multicenter study. J Pediatr Surg. 2014;49(4):503–7.

    Article  Google Scholar 

  7. Pokorny WJ, McGill CW, Harberg FJ. Morgagni hernias during infancy: presentation and associated anomalies. J Pediatr Surg. 1984;19(4):394–7.

    Article  CAS  Google Scholar 

  8. Abraham V, Myla Y, Verghese S, Chandran BS. Morgagni-larrey hernia- a review of 20 cases. Indian J Surg. 2012;74(5):391–5.

    Article  Google Scholar 

  9. Kaida T, Ikeda A, Shimoda H, Sako H, Uchida H, Wada M, et al. Laparoscopic mesh repair of a Morgagni hernia using the double-crown technique: a case study. Asian J Endosc Surg. 2014;7(4):323–6.

    Article  Google Scholar 

  10. El-Sharkawy A, Higashi Y, Lobo D. Education and imaging. Gastrointestinal: foramen of Morgagni hernia in an adult. J Gastroenterol Hepatol. 2012;27(3):616.

    Article  CAS  Google Scholar 

  11. Aghajanzadeh M, Khadem S, Khajeh Jahromi S, Gorabi HE, Ebrahimi H, Maafi AA. Clinical presentation and operative repair of Morgagni hernia. Interact Cardiovasc Thorac Surg. 2012;15(4):608–11.

    Article  Google Scholar 

  12. Kuster GG, Kline LE, Garzo G. Diaphragmatic hernia through the foramen of Morgagni: laparoscopic repair case report. J Laparoendosc Surg. 1992;2(2):93–100.

    Article  CAS  Google Scholar 

  13. Ryan JM, Rogers AC, Hannan EJ, Mastrosimone A, Arumugasamy M. Technical description of laparoscopic Morgagni hernia repair with primary closure and onlay composite mesh placement. Hernia. 2018;22(4):697–705.

    Article  CAS  Google Scholar 

  14. Fu SS, Carton MM, Ghaderi I, Galvani CA. Robotic-assisted simultaneous repair of paraesophageal hernia and Morgagni hernia: technical report. J Laparoendosc Adv Surg Tech A. 2018;28(6):745–50.

    Article  Google Scholar 

  15. Kawasaki H, Ueki T, Tetsuo T, Terada R, Miyashita K, Okabe N, et al. A case of combined Morgagni and esophageal hiatal hernias successfully repaired by endoscopy and laparoscopy. Nihon Shokakibyo Gakkai Zasshi. 2017;114(10):1836–44.

    PubMed  Google Scholar 

  16. Ozawa H, Shinozaki H, Kimata M, Ozawa S. Case of giant paraesophageal hiatal hernia associated with Morgagni hernia. Asian J Endosc Surg. 2018;11(1):43–6.

    Article  Google Scholar 

  17. Sahsamanis G, Terzoglou A, Theodoridis C, Kiakou M, Mitsopoulos G, Deverakis T, et al. Laparoscopic repair of an excessive Morgagni hernia in an adult presenting as upside-down stomach. Int J Surg Case Rep. 2017;41:443–5.

    Article  Google Scholar 

  18. Pironi D, Palazzini G, Arcieri S, Candioli S, Manigrasso A, Panarese A, et al. Laparoscopic diagnosis and treatment of diaphragmatic Morgagni hernia. Case report and review of the literature. Ann Ital Chir. 2008;79(1):29–36.

    PubMed  Google Scholar 

  19. Arevalo G, Harris K, Sadiq A, Calin ML, Nasri B, Singh K. Repair of Morgagni hernia in adults with primary closure and mesh placement: first robotic experience. J Laparoendosc Adv Surg Tech A. 2017;27(5):529–32.

    Article  Google Scholar 

  20. Wei B, Pittman BC Jr. Robotic Morgagni hernia repair: an emerging approach to a congenital defect. J Robot Surg. 2019;13(2):309–13.

    Article  Google Scholar 

  21. Janssens W, Schoneveld M, Allaeys M, De Backer A. Robotic repair of large Morgagni hernia in an adolescent girl. J Pediatr Surg Case Rep. 2019;41:51–3.

    Article  Google Scholar 

  22. Yavuz N, Yigitbasi R, Sunamak O, As A, Oral C, Erguney S. Laparoscopic repair of Morgagni hernia. Surg Laparosc Endosc Percutan Tech. 2006;16(3):173–6.

    Article  Google Scholar 

  23. Agalar C, Atila K, Arslan NC, Derici ZS, Bora S. Adult morgagni hernia: a single-center experience of five cases and a review of literature. Turk J Surg. 2018:1–4. https://doi.org/10.5152/turkjsurg.2018.3929.

  24. Arikan S, Dogan MB, Kocakusak A, Ersoz F, Sari S, Duzkoylu Y, et al. Morgagni’s hernia: analysis of 21 patients with our clinical experience in diagnosis and treatment. Indian J Surg. 2018;80(3):239–44.

    Article  Google Scholar 

  25. Nakashima S, Watanabe A, Hashimoto M, Mishina T, Obama T, Higami T. Advantages of video-assisted thoracoscopic surgery for adult congenital hernia with severe adhesion: report of two cases. Ann Thorac Cardiovasc Surg. 2011;17(2):185–9.

    Article  Google Scholar 

  26. Amore D, Bergaminelli C, Di Natale D, Casazza D, Scaramuzzi R, Curcio C. Morgagni hernia repair in adult obese patient by hybrid robotic thoracic surgery. J Thorac Dis. 2018;10(7):E555–E9.

    Article  Google Scholar 

  27. Ambrogi V, Forcella D, Gatti A, Vanni G, Mineo TC. Transthoracic repair of Morgagni’s hernia: a 20-year experience from open to video-assisted approach. Surg Endosc. 2007;21(4):587–91.

    Article  CAS  Google Scholar 

  28. Gedik E, Tuncer MC, Onat S, Avci A, Tacyildiz I, Bac B. A review of Morgagni and Bochdalek hernias in adults. Folia Morphol (Warsz). 2011;70(1):5–12.

    CAS  Google Scholar 

  29. Sanford Z, Weltz AS, Brown J, Shockcor N, Wu N, Park AE. Morgagni hernia repair: a review. Surg Innov. 2018;25(4):389–99.

    Article  Google Scholar 

  30. Arraez-Aybar LA, Gonzalez-Gomez CC, Torres-Garcia AJ. Morgagni-Larrey parasternal diaphragmatic hernia in the adult. Rev Esp Enferm Dig. 2009;101(5):357–66.

    Article  CAS  Google Scholar 

  31. Edye M, Salky B, Posner A, Fierer A. Sac excision is essential to adequate laparoscopic repair of paraesophageal hernia. Surg Endosc. 1998;12(10):1259–63.

    Article  CAS  Google Scholar 

  32. Dallemagne B, Quero G, Lapergola A, Guerriero L, Fiorillo C, Perretta S. Treatment of giant paraesophageal hernia: pro laparoscopic approach. Hernia. 2018;22(6):909–19.

    Article  CAS  Google Scholar 

  33. Watson DI, Davies N, Devitt PG, Jamieson GG. Importance of dissection of the hernial sac in laparoscopic surgery for large hiatal hernias. Arch Surg. 1999;134(10):1069–73.

    Article  CAS  Google Scholar 

  34. Palanivelu C, Rangarajan M, Rajapandian S, Amar V, Parthasarathi R. Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study. Surg Endosc. 2009;23(5):978–85.

    Article  Google Scholar 

  35. Mullins ME, Saini S. Imaging of incidental Bochdalek hernia. Semin Ultrasound CT MR. 2005;26(1):28–36.

    Article  Google Scholar 

  36. Yap KH, Jones M. Late presentation of congenital diaphragmatic hernia after a diagnostic laparoscopic surgery (a case report). J Cardiothorac Surg. 2013;8:8.

    Article  Google Scholar 

  37. Catalona WJ, Crowder WL, Chretien PB. Occurrence of hernia of Morgagni with filial cervical lung hernia: a hereditary defect of the cervical mesenchyme? Chest. 1972;62(3):340–2.

    Article  CAS  Google Scholar 

  38. Pillai SA, Chinnappan S. Congenital right Morgagni hernia presenting in an adult-a case report. Indian J Surg. 2016;78(3):238–40.

    Article  Google Scholar 

  39. Kamiya N, Yokoi K, Miyazawa N, Hishinuma S, Ogata Y, Katayama N. Morgagni hernia diagnosed by MRI. Surg Today. 1996;26(6):446–8.

    Article  CAS  Google Scholar 

  40. Collie DA, Turnbull CM, Shaw TR, Price WH. Case report: MRI appearances of left sided Morgagni hernia containing liver. Br J Radiol. 1996;69(819):278–80.

    Article  CAS  Google Scholar 

  41. Yeh HC, Halton KP, Gray CE. Anatomic variations and abnormalities in the diaphragm seen with US. Radiographics. 1990;10(6):1019–30.

    Article  CAS  Google Scholar 

  42. McAneny D. Preoperative preparation. In: Doherty GM, editor. CURRENT diagnosis & treatment: surgery, 14e. New York: McGraw-Hill Education; 2015.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yevhen Pavelko .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Bianco, F.M., Pavelko, Y., Gangemi, A. (2019). Robotic Assisted Morgagni Hernia Repair. In: LeBlanc, K. (eds) Robotic Assisted Hernia Repair. Springer, Cham. https://doi.org/10.1007/978-3-030-23025-8_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-23025-8_29

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23024-1

  • Online ISBN: 978-3-030-23025-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy