Pediatric Surgery International

, Volume 29, Issue 2, pp 185–189

Recurrence rate of Morgagni diaphragmatic hernia following laparoscopic repair

  • Massimo Garriboli
  • Mark Bishay
  • Edward M. Kiely
  • David P. Drake
  • Joseph I. Curry
  • Kate M. K. Cross
  • Simon Eaton
  • Paolo De Coppi
  • Agostino Pierro
Original Article

DOI: 10.1007/s00383-012-3199-y

Cite this article as:
Garriboli, M., Bishay, M., Kiely, E.M. et al. Pediatr Surg Int (2013) 29: 185. doi:10.1007/s00383-012-3199-y

Abstract

Purpose

Morgagni diaphragmatic hernia can be repaired laparoscopically. The aim of this study is to evaluate the outcome of this minimally invasive approach.

Methods

A retrospective review was conducted on all consecutive children who underwent repair of Morgagni hernia from January 2002 to December 2011 in our hospital. Data are expressed as median (range).

Results

There were 12 children with Morgagni hernia. Age at surgery was 7.5 months (2–125). Associated malformations were present in 7 children (58 %). All children underwent initial laparoscopic approach. Two children (16 %) underwent conversion to open surgery. The hernia was closed primarily in 11 children (92 %), using a polyester patch in 1 (8 %). There were no intraoperative or immediate postoperative complications. Five children (42 %), all repaired initially without a patch, had a recurrence of the Morgagni hernia. The repair of the recurrent hernia was performed laparoscopically in four out of the five children, and a patch was used in two patients with no further recurrences or complications.

Conclusions

There is a high rate of recurrence after laparoscopic Morgagni hernia repair. This is exclusively associated with laparoscopic repair without patch, and it is in contrast with the low recurrence rate reported previously. More frequent use of patch may be beneficial.

Keywords

Morgagni hernia Congenital diaphragmatic hernia Laparoscopy Children Paediatric surgery Minimally invasive surgery 

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Massimo Garriboli
    • 1
  • Mark Bishay
    • 1
  • Edward M. Kiely
    • 1
  • David P. Drake
    • 1
  • Joseph I. Curry
    • 1
  • Kate M. K. Cross
    • 1
  • Simon Eaton
    • 1
  • Paolo De Coppi
    • 1
  • Agostino Pierro
    • 1
  1. 1.Department of Paediatric SurgeryUCL Institute of Child Health and Great Ormond Street Hospital for ChildrenLondonUK

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