Multi-Institution Case Series of Pediatric Patients with Laparoscopic Repair of Morgagni Hernia
| Autor: | Christine L Geistkemper, Victor Y Leon, Hugo Cabrera, Luis Miguel Rico García, Pastor Escarcega, Secundino Lopez, Jorge R Espinosa, Rodolfo A. Elizondo, Heriberto Solano, Carlos Fuster García, Alma D González, Mario A Riquelme |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Diaphragmatic breathing 03 medical and health sciences 0302 clinical medicine Recurrence Interquartile range medicine Humans Hernia Laparoscopy Herniorrhaphy Retrospective Studies medicine.diagnostic_test business.industry Infant Congenital diaphragmatic hernia Retrospective cohort study Pediatric Surgeon medicine.disease Conversion to Open Surgery Surgery Treatment Outcome Child Preschool 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Hernias Diaphragmatic Congenital business Rare disease |
| Zdroj: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 28:1019-1022 |
| ISSN: | 1557-9034 1092-6429 |
| DOI: | 10.1089/lap.2017.0621 |
| Popis: | Morgagni Larray hernia (MLH) is a very rare disease, which accounts for less than 5% of all congenital diaphragmatic hernias. Laparoscopic repair has been widely used and accepted as a treatment option for patients with this disease. The purpose of our study is to analyze the outcomes of patients with MLH who underwent laparoscopic repair, and to evaluate their postoperative course for outcome, morbidity, and mortality.A retrospective chart review was performed of patients who were diagnosed with MLH and treated laparoscopically by 10 board-certified pediatric surgeons.Fourteen patients were included in the study. One patient died 1 month postoperatively due to respiratory complications unrelated to the surgery. Thirteen patients were followed for a median of 1.75 years (interquartile 0.3-6.95). There was a single recurrence, which resulted in a partial resection of the hernia sac and repaired without a mesh. We had a success rate of 92.86%.MLH is a rare congenital diaphragmatic hernia that is usually diagnosed incidentally. Laparoscopic repair has high success rates and is a viable option for patients with this pathology. |
| Databáze: | OpenAIRE |
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