• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
      • SAGES Robotics Residents and Fellows Courses
      • MIS Fellows Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Anatomical Reconstruction Of A Morgagni Hernia With Robotic Assistance

Anatomical Reconstruction Of A Morgagni Hernia With Robotic Assistance

Stephen Sharp, MD, Tejinder P. Singh, MD. Albany Medical Center

Objectives: Morgagni hernias are classified as congenital diaphragmatic hernias and are relatively uncommon. They are caused by a failure of fusion between the septum transversum and the lateral body wall where the internal mammary artery crosses the diaphragm. Traditionally they have been fixed in an open fashion either transthoracic or transabdominal. Relatively recently they have been fixed laparoscopically with mesh using a tacking device. In this video, we demonstrate a pre-peritoneal anatomical reconstruction where the diaphragm is sutured to the anterior abdominal wall, the repair is buttressed with mesh, and the peritoneum is closed over the mesh.

Methods: A 58-year old male with upper abdominal pain found to have Morgagni hernia. The patient was taken to the operating room and placed under general anesthesia. A 12-mm umbilical balloon-tipped trocar and two 8-mm robotic trocars in the right and left mid-abdomen were placed. The Morgagni hernia was identified. Colon and omentum were easily reduced from the hernia defect. A peritoneal flap in the upper abdomen was created and carried cephalad towards the diaphragm and chest. Diaphragm muscle was dissected and found to be easily approximated to anterior abdominal wall in a tension-free manner. The hernia defect from the diaphragm to the anterior abdominal wall was then closed with #1 Stratafix in a running fashion. A 15cm x 15cm ProGrip mesh was then placed in an extra-peritoneal manner to cover the hernia defect as well as adjacent diaphragm and abdominal wall. The peritoneum was then re-approximated and closed in a tension-free manner using 2-0 Stratafix in a continuous manner. Umbilical trocar site closed with 0-Vicryl in a figure-of-eight fashion. Skin closed with 4-0 Monocryl and Dermabond glue.

Results: The patient was discharged home on POD #1 and had no complications.

Conclusion: Robotic repair is a durable option for an anatomical repair of Morgagni hernias.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 87668

Program Number: V114

Presentation Session: Robotics 2 Session

Presentation Type: Video

48

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon

Related



Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals