Skip to main content
SpringerLink
Log in

Transabdominal Approach in the Surgical Management of Morgagni Hernia

  • Original Articles
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

Purpose

Morgagni hernias are uncommon diaphragmatic hernias that are generally asymptomatic, and so far only limited data have been reported. The objective of this retrospective study was to evaluate the outcome of patients presenting with a complicated Morgagni hernia and who undergo a transabdominal repair.

Methods

Between September 1999 and October 2005, 11 patients with Morgagni hernia were operated on in our department. Eight of them had acute presentations because of a complicated Morgagni hernia. The patient demographics, presenting symptoms, operative approach, and complications were collected. The postoperative course was evaluated for morbidity and mortality.

Results

The patients' ages ranged from 42 to 85 years (mean 69.4). Two (18.2%) patients were male and nine (81.8%) patients were female. Chest roentgenograms, computed tomography, and contrast meal studies were used as diagnostic utilities. A transabdominal approach was used for all patients. One patient died due to pulmonary failure. The mean follow-up was 2.8 years. There was no recurrence or symptoms regarding the operation in the remaining patients.

Conclusion

We recommend the transabdominal approach in patients with Morgagni hernia as it makes it easy to reduce the hernia contents and repair of the hernia sac. Moreover, when complicated with strangulation, incarceration or perforation, a surgical repair through a transabdominal approach is mandatory.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. G Morgagni (1769) Seats and causes of disease Candell London 205

    Google Scholar 

  2. D Larrey (1828) De plaies du pericarde et du coeur clinique chirugicale Gubon Paris 284

    Google Scholar 

  3. TV Thomas (1972) ArticleTitleSubcostosternal diaphragmatic hernia J Thorac Cardiovasc Surg 63 279–83 Occurrence Handle5009742 Occurrence Handle1:STN:280:DyaE38%2FpvVShtQ%3D%3D

    PubMed  CAS  Google Scholar 

  4. ML Cullen MD Klein AI Philippart (1985) ArticleTitleCongenital diaphragmatic hernia Surg Clin North Am 65 1115–38 Occurrence Handle3904042 Occurrence Handle1:STN:280:DyaL28%2FksVyhtA%3D%3D

    PubMed  CAS  Google Scholar 

  5. L Berman D Stringer SH Ein B Shandling (1989) ArticleTitleThe late-presenting pediatric Morgagni hernia: a benign condition J Pediatr Surg 24 970–2 Occurrence Handle2809967 Occurrence Handle10.1016/S0022-3468(89)80193-9 Occurrence Handle1:STN:280:DyaK3c%2FjvF2msQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  6. D Kilic A Nadir E Doner S Kavukcu M Akal N Ozdemir et al. (2001) ArticleTitleTransthoracic approach in surgical management of Morgagni hernia Eur J Cardiothorac Surg 20 1016–9 Occurrence Handle11675191 Occurrence Handle10.1016/S1010-7940(01)00934-4 Occurrence Handle1:STN:280:DC%2BD3MrmvVagsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  7. PC Minneci KJ Deans P Kim DJ Mathisen (2004) ArticleTitleForamen of Morgagni hernia: changes in diagnosis and treatment Ann Thorac Surg 77 1956–9 Occurrence Handle15172245 Occurrence Handle10.1016/j.athoracsur.2003.12.028

    Article  PubMed  Google Scholar 

  8. TP Comer OT Clagett (1966) ArticleTitleSurgical treatment of hernia of the foramen of Morgagni J Thorac Cardiovasc Surg 52 461–8 Occurrence Handle5920821 Occurrence Handle1:STN:280:DyaF2s%2FitVOjsA%3D%3D

    PubMed  CAS  Google Scholar 

  9. C Machtelinckx R De Man M De Coster G Ghillebert V Provoost (2001) ArticleTitleAcute torsion and necrosis of the greater omentum herniated into a foramen of Morgagni Abdom Imaging 26 83–5 Occurrence Handle11116368 Occurrence Handle10.1007/s002610000115 Occurrence Handle1:STN:280:DC%2BD3MzitFehug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  10. FJ Gray (1981) ArticleTitleStrangulated hernia of the foramen of Morgagni: introducing a principle for the reduction of obstructed intraabdominal hernias Aust N Z J Surg 51 314–7 Occurrence Handle6942816 Occurrence Handle1:STN:280:DyaL3M3lsFGlsA%3D%3D

    PubMed  CAS  Google Scholar 

  11. H Guven Z Malazgirt A Dervisoglu M Danaci K Ozkan (2002) ArticleTitleMorgagni hernia: rare presentations in elderly patients Acta Chir Belg 102 266–9 Occurrence Handle12244908 Occurrence Handle1:STN:280:DC%2BD38votlWlsw%3D%3D

    PubMed  CAS  Google Scholar 

  12. AH Al-Salem A Nawaz H Matta A Jacobsz (2002) ArticleTitleHerniation through the foramen of Morgagni: early diagnosis and treatment Pediatr Surg Int 18 93–7 Occurrence Handle11956770 Occurrence Handle10.1007/s003830100653

    Article  PubMed  Google Scholar 

  13. A Schneidau HJ Baron RD Rosin (1982) ArticleTitleMorgagni revisited: a case of intermittent chest pain Br J Radiol 55 238–40 Occurrence Handle7066627 Occurrence Handle1:STN:280:DyaL387mtFKjsA%3D%3D Occurrence Handle10.1259/0007-1285-55-651-238

    Article  PubMed  CAS  Google Scholar 

  14. KA Kelly DL Bassett (1964) ArticleTitleAn anatomic reappraisal of the hernia of Morgagni Surgery 55 495–9 Occurrence Handle14138010 Occurrence Handle1:STN:280:DyaF2c%2FpsF2juw%3D%3D

    PubMed  CAS  Google Scholar 

  15. M Bortul L Calligaris P Gheller (1998) ArticleTitleLaparoscopic repair of a Morgagni-Larrey hernia J Laparoendosc Adv Surg Tech A 8 309–13 Occurrence Handle9820724 Occurrence Handle1:STN:280:DyaK1M%2Fjs1Kisg%3D%3D

    PubMed  CAS  Google Scholar 

  16. DL Ngaage RA Young ME Cowen (2001) ArticleTitleAn unusual combination of diaphragmatic hernias in a patient presenting with the clinical features of restrictive pulmonary disease: report of a case Surg Today 31 1079–81 Occurrence Handle11827187 Occurrence Handle10.1007/s595-001-8061-8 Occurrence Handle1:STN:280:DC%2BD38%2FpslWnug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  17. DK Bhasin B Nagi NM Gupta K Singh (1989) ArticleTitleChronic intermittent gastric volvulus within the foramen of Morgagni Am J Gastroenterol 84 1106–8 Occurrence Handle2773904 Occurrence Handle1:STN:280:DyaL1MzntFKqsw%3D%3D

    PubMed  CAS  Google Scholar 

  18. J Estevao-Costa M Soares-Oliveira J Correia-Pinto C Mariz JL Carvalho JE da Costa (2000) ArticleTitleAcute gastric volvulus secondary to a Morgagni hernia Pediatr Surg Int 16 107–8 Occurrence Handle10663853 Occurrence Handle10.1007/s003830050031 Occurrence Handle1:STN:280:DC%2BD3c7jtV2rug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  19. NA Wong CM Dayan J Virjee KW Heaton (1995) ArticleTitleAcute respiratory distress secondary to Morgagni diaphragmatic herniation in an adult Postgrad Med J 71 39–41 Occurrence Handle7708592 Occurrence Handle1:STN:280:DyaK2M3itlyrtA%3D%3D

    PubMed  CAS  Google Scholar 

  20. K Moghissi (1981) ArticleTitleOperation for repair of obstructed substernocostal (Morgagni) hernia Thorax 36 392–4 Occurrence Handle7031964 Occurrence Handle1:STN:280:DyaL38%2FosFamtg%3D%3D Occurrence Handle10.1136/thx.36.5.392

    Article  PubMed  CAS  Google Scholar 

  21. KJ Gossios CK Tatsis A Lykouri SH Constantopoulos (1991) ArticleTitleOmental herniation through the foramen of Morgagni. Diagnosis with chest computed tomography Chest 100 1469–70 Occurrence Handle1935319 Occurrence Handle1:STN:280:DyaK38%2Fjs1Klsg%3D%3D

    PubMed  CAS  Google Scholar 

  22. N Kamiya K Yokoi N Miyazawa S Hishinuma Y Ogata N Katayama (1996) ArticleTitleMorgagni hernia diagnosed by MRI Surg Today 26 446–8 Occurrence Handle8782306 Occurrence Handle10.1007/BF00311935 Occurrence Handle1:STN:280:DyaK28zns1Smsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  23. D Fagelman JG Caridi (1984) ArticleTitleCT diagnosis of hernia of Morgagni Gastrointest Radiol 9 153–5 Occurrence Handle6745593 Occurrence Handle10.1007/BF01887823 Occurrence Handle1:STN:280:DyaL2c3mt1emsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  24. B Yildirim R Ozaras V Tahan T Artis (2000) ArticleTitleDiaphragmatic Morgagni hernia in adulthood: correct preoperative diagnosis is possible with newer imaging techniques Acta Chir Belg 100 31–3 Occurrence Handle10776525 Occurrence Handle1:STN:280:DC%2BD3c3jvVyhtw%3D%3D

    PubMed  CAS  Google Scholar 

  25. RL Hussong SuffixJr RJ Landreneau FH Cole SuffixJr (1997) ArticleTitleDiagnosis and repair of a Morgagni hernia with video-assisted thoracic surgery Ann Thorac Surg 63 1474 Occurrence Handle9146352 Occurrence Handle10.1016/S0003-4975(97)00216-6

    Article  PubMed  Google Scholar 

  26. DC van der Zee NM Bax (1995) ArticleTitleLaparoscopic repair of congenital diaphragmatic hernia in a 6-month-old child Surg Endosc 9 1001–3 Occurrence Handle7482203 Occurrence Handle1:STN:280:DyaK28%2Fns1GktA%3D%3D

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, School of Medicine, Inonu University, Turgut Ozal Medical Center, 44069, Malatya, Turkey

    Mehmet Yilmaz, Burak Isik, Sacit Coban, Gokhan Sogutlu, Cengiz Ara, Vedat Kirimlioglu, Sezai Yilmaz & Cuneyt Kayaalp

Authors
  1. Mehmet Yilmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Burak Isik
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sacit Coban
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gokhan Sogutlu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Cengiz Ara
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Vedat Kirimlioglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Sezai Yilmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Cuneyt Kayaalp
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yilmaz, M., Isik, B., Coban, S. et al. Transabdominal Approach in the Surgical Management of Morgagni Hernia. Surg Today 37, 9–13 (2007). https://doi.org/10.1007/s00595-006-3336-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-006-3336-0

Key words

Search

Navigation