Salman Al-Sabah, MD MBA FRCSC, LS Feldman, MD, MC Vassiliou, MD, LE Ferri, MD, GM Fried, MD. McGill University
The laparoscopic approach for repair of Morgagni hernia avoids the morbidity of laparotomy. This video illustrates the case of a 72 years old woman with upper abdominal pain and a large Morgagni hernia was diagnosed on CT scan. The hernia defect was first closed primarily with non-absorbable trans-abdominal sutures and mesh pledgets placed with the aid of a suture passer. Polyester mesh was placed over the primary closure and secured with a combination of tacks (superiorly) and fibrin glue. The patient was discharged on postoperative day-2, and was symptom-free 4 months post operatively. Chest x-ray did not demonstrate any evidence of recurrence.
Program Number: V036