Laparoscopic Repair of Congenital Bilateral Morgagni’s Hernia

Background: Morgagni’s hernia is a rare type of congenital diaphragmatic hernia that presents as a defect in the anterior aspect of the diaphragm. It typically presents in the pediatric population and is rarely diagnosed in adults. Only 3% of diaphragmatic hernias are Morgagni’s type, and only 4% of these are found to present bilaterally. Surgical repair of Morgagni’s hernia has been performed through various approaches: laparotomy, laparoscopic abdominal approach, thoracotomy, thoracoscopic (VATS) approach, and with and without mesh.

The optimal method of surgical repair is not known due to the rarity of this condition and the limitations of setting up a prospective, randomized trial to evaluate the different methods. Laparoscopic repair with mesh has been described with good short term results. Few case reports exist in the literature describing laparoscopic repair with mesh of a bilateral Morgagni’s hernia.

At the University of Washington, we present a video showing our technique for laparoscopic repair of a congenital, bilateral Morgagni’s type hernia with mesh in a young adult.

Session: Podium Video Presentation

Program Number: V024

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