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Journal of Robotic Surgery

, Volume 13, Issue 2, pp 309–313 | Cite as

Robotic Morgagni hernia repair: an emerging approach to a congenital defect

  • Benjamin WeiEmail author
  • Bruce C. PittmanJr.
Brief Communication

Abstract

Morgagni hernia (MH) is a rare, congenital diaphragmatic hernia (CDH). The use of robotic surgery to repair MH in adults has recently been described in the literature, but only on two previous occasions. The objective of this report is to describe four cases of robotic repair of MH in adults performed by a single surgeon to better delineate an emerging approach to this rare condition. A retrospective review of patients who underwent robotic repair of MH by a single surgeon was performed. Four consecutive patients were identified and included. The median age of patients was 43 (range: 23–70). All patients had symptoms prior to diagnosis, including substernal chest pain (n = 3), dyspnea (n = 4), dysphagia (n = 1), and regurgitation (n = 1). All patients underwent hernia reduction, primary tissue repair, and mesh implant with minimal average estimated blood loss. All hernias were right sided, and the average length of surgery was 129.8 min. The average length of stay was 2 days. No intraoperative complications or 30-day postoperative complications were reported. Symptoms, including chest pain and dyspnea, resolved postoperatively for each patient. With this technique, robotic Morgagni hernia repair can be done with short operative time, few complications, and favorable length of stay. This operation takes advantage of the dexterity and wristed nature of the instruments; suturing of the diaphragmatic defect and mesh (performed on the “ceiling” of field) and incorporating pledgets into these sutures become straightforward endeavors when performed robotically. We have found the robotic platform useful for a transabdominal approach to Morgagni hernia repair.

Keywords

Hernia Robotic Morgagni Congenital 

Notes

Funding

No funding was received for this project.

Compliance with ethical standards

Conflict of interest

Benjamin Wei and Bruce Pittman declare that they have no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 162818 KB)

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Copyright information

© This is a U.S. government work and its text is not subject to copyright protection in the United States; however, its text may be subject to foreign copyright protection 2018

Authors and Affiliations

  1. 1.Division of Cardiothoracic SurgeryUniversity of Alabama Birmingham Medical CenterBirminghamUSA

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