Link: http://www.ncbi.nlm.nih.gov/pubmed/25354379

Asian J Endosc Surg. 2014 Nov;7(4):323-6. doi: 10.1111/ases.12120.
Laparoscopic mesh repair of a Morgagni hernia using the double-crown technique: A case study.
Kaida T1, Ikeda A, Shimoda H, Sako H, Uchida H, Wada M, Ikeda K, Okusawa S, Watanabe M.
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Abstract
We report a case of Morgagni hernia in which the patient underwent laparoscopic mesh repair. A 65-year-old woman presented with an abnormal shadow in the right lower lung field on a routine medical checkup. CT showed that the transverse colon passed between the liver and abdominal wall, and herniated into the thoracic cavity. Simple closure was precluded by the large hernial orifice. We therefore performed laparoscopic repair using a Parietex Optimized Composite Mesh. The double-crown technique was used to fix the margin of the mesh to the region around the hernial orifice. Our procedure for repair of a Morgagni hernia with a large hernial orifice is safe and minimally invasive, and it may effectively prevent recurrence.

? 2014 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

KEYWORDS:
Diaphragmatic hernia; retrosternal hernia; synthetic material
PMID: 25354379 [PubMed - indexed for MEDLINE]