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

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 post operative 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 ...
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research

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Source: Lasers in Medical Science - Category: Laser Surgery Source Type: research
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Source: Lasers in Medical Science - Category: Laser Surgery Source Type: research
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Source: Oncology Letters - Category: Cancer & Oncology Tags: Oncol Lett Source Type: research
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Source: Oncology Letters - Category: Cancer & Oncology Tags: Oncol Lett Source Type: research
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Source: Oncology Letters - Category: Cancer & Oncology Tags: Oncol Lett Source Type: research
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Source: Oncology Letters - Category: Cancer & Oncology Tags: Oncol Lett Source Type: research
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Source: Der Hautarzt: Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete - Category: Dermatology Tags: Hautarzt Source Type: research
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Source: Der Hautarzt: Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete - Category: Dermatology Tags: Hautarzt Source Type: research
Publication date: Available online 23 January 2020Source: The American Journal of SurgeryAuthor(s): Jeremy A. Warren, Michael Love, William S. Cobb, Lucas R. Beffa, Francisco J. Couto, B.H. Hancock, D. Morrow, Joseph A. Ewing, Alfredo M. CarbonellAbstractBackgroundProsthetic mesh infection (PMI) is a challenging complication of ventral hernia repair (VHR). The sparsity of data leaves only experience and judgment to guide surgical decision-making.MethodsRetrospective review of patients diagnosed with PMI. Subsequent abdominal operation (SAO) constitutes any intraabdominal operation occurring after the index hernia repair pr...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Abstract Morgagni hernia (MH) is a very rare congenital defect found in the anterior aspect of the diaphragm between the costal and sternal portions of the muscle. The most common defect is congenital diaphragmatic hernia, 90% of which are Bochdalek type. MHs account for approximately 3% of all diaphragmatic hernias. Most MHs are found and repaired in children, but 5% are found in adults. Here, we present the case of an incarcerated and strangulated MH with synchronous prolapse of the liver and transverse colon in a 77-year-old man who was admitted to our hospital for abdominal pain and symptoms of intestinal obst...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - Category: Emergency Medicine Authors: Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
More News: Congenital Diaphragmatic Hernia | Congenital Diaphragmatic Hernia Repair | Gastroschisis Repair | Hernia | Hernia Repair | Pain | Surgery