Multi-institution Case Series of Pediatric Patients with Laparoscopic Repair of Morgagni Hernia

Morgagni Larray hernia (MLH) is a very rare disease, which accounts for less than 5% of all congenital diaphragmatic hernias. Laparoscopic repair has been widely used and accepted as a treatment option for patients with this disease. The purpose of our study is to analyze the outcomes of patients with MLH who underwent laparoscopic repair, and to evaluate their postoperative course for outcome, morbidity, and mortality.

A retrospective chart review was performed of patients who were diagnosed with MLH and treated laparoscopically by 10 board-certified pediatric surgeons.

Fourteen patients were included in the study. One patient died 1 month postoperatively due to respiratory complications unrelated to the surgery. Thirteen patients were followed for a median of 1.75 years (interquartile 0.3-6.95). There was a single recurrence, which resulted in a partial resection of the hernia sac and repaired without a mesh. We had a success rate of 92.86%.

MLH is a rare congenital diaphragmatic hernia that is usually diagnosed incidentally. Laparoscopic repair has high success rates and is a viable option for patients with this pathology.

Journal of laparoendoscopic & advanced surgical techniques. Part A. 2018 Apr 05 [Epub ahead of print]

Pastor Escarcega, Mario A Riquelme, Secundino Lopez, Alma D González, Victor Y Leon, Luis R Garcia, Hugo Cabrera, Heriberto Solano, Carlos Garcia, Jorge R Espinosa, Christine L Geistkemper, Rodolfo A Elizondo

1 Department of Pediatric Surgery, Centro de Alta Especialidad Dr. Rafael Lucio , Veracruz, Mexico ., 2 Department of Pediatric Surgery, Christus Muguerza/UdeM , Monterrey, Mexico ., 3 Department of Pediatric Surgery, Hospital del Niño y el Adolescente Morelense , Morelos, Mexico ., 4 Department of Pediatric Surgery, HGR IMSS , Baja California, Mexico ., 5 Department of Pediatric Surgery, Hospital Infantil de Especialidades de Chihuahua , Chihuahua, Mexico ., 6 Department of Pediatric Surgery, Hospital Angeles , Puebla, Mexico ., 7 Department of Pediatric Surgery, Hospital Hispano Americano , Baja California, Mexico ., 8 Department of Pediatric Surgery, Hospital Infantil Privado Ciudad de Mexico, Mexico ., 9 Department of Pediatric Surgery, Hospital de Especialidades del Niño y la Mujer , Averetaro, Mexico ., 10 Department of Pediatric Urology, Texas Children's Hospital , Houston, Texas.