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Laparoscopic Repair of Larrey (Left-Sided Morgagni) Hernia: Technical Considerations

  • Surgical Techniques and Innovations
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Abstract

In 1769, Morgagni described the diaphragmatic hernia carrying his name, whist doing a post mortem on a head injury patient. Independently, Larrey had described a left-sided “anterior sternoscostal” hernia, and so left-sided Morgagni hernia is also known as a Larrey hernia. It is a very rare type of congenital diaphragmatic hernia with an incidence of 1–3%. It is caused by failure of fusion in the anterior portion of the pleuroperitoneal membrane resulting in retrosternal defect in the diaphragm. Although infants present with recurrent respiratory infections, they can often go unnoticed for several decades. In this case report, we present a 48-year-old male, diagnosed with Larrey hernia who underwent successful total laparoscopic suture repair and Meshplasty. The sac contents were reduced, and the sac was not excised. The edges were approximated, and the mesh was placed to widely cover the defect and suture to the abdominal wall all around. Relevant literature and technical considerations are discussed in this article.

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References

  1. Arráez-Aybar LA, González-Gómez CC, Torres-García AJ (2009) Morgagni-Larrey parasternal diaphragmatic hernia in the adult. Rev Esp Enferm Dig 101(5):357–366

    Article  PubMed  Google Scholar 

  2. Abraham V, Myla Y, Verghese S, Chandran BS (2012) Morgagni-Larrey hernia-a review of 20 cases. Indian J Surg 74(5):391–395

    Article  PubMed  PubMed Central  Google Scholar 

  3. Kuster GG, Kline LE, Garzo G (1992) Diaphragmatic hernia through the foramen of Morgagni: laparoscopic repair case report. J Laparoendosc Surg 2(2):93–100

    Article  PubMed  CAS  Google Scholar 

  4. Carlson MA, Condon RE, Ludwig KA, Schulte WJ (1998) Management of intrathoracic stomach with polypropylene mesh prosthesis reinforced transabdominal hiatus hernia repair. J Am Coll Surg 187(3):227–230

    Article  PubMed  CAS  Google Scholar 

  5. Köckerling F, Schug-Pass C, Bittner R (2018) A word of caution: never use tacks for mesh fixation to the diaphragm! Surg Endosc 16:1–8

    Google Scholar 

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Correspondence to J. S. Rajkumar.

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Rajkumar, J.S., Tadimari, H., Akbar, S. et al. Laparoscopic Repair of Larrey (Left-Sided Morgagni) Hernia: Technical Considerations. Indian J Surg 80, 395–398 (2018). https://doi.org/10.1007/s12262-018-1774-8

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  • DOI: https://doi.org/10.1007/s12262-018-1774-8

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