Minimally invasive repair of Morgagni hernia - A multicenter case series

• Type: Article in International Scientific Journal
• Date: 2016

Authors

Lamas-Pinheiro R (Author) Other; Pereira J (Author) Other; Carvalho F (Author) Other; Horta P (Author) Other; Ochoa A (Author) Other; Knoblich M (Author) Other; Henriques J (Author) Other; Henriques-Coelho, T (Author) FMUP; Correia-Pinto J (Author) Other; Casella P (Author) Other; Estevão-Costa J (Author) FMUP

Journal

Title: Revista Portuguesa de Pneumologia

Vol. 22 No. 3

Pages: 273-278

ISSN: 0873-2159

Publisher: Sociedade Portuguesa de Pneumologia

Indexing

ISI Web of Knowledge - 18 Citations

Scopus - 19 Citations

Pubmed / Medline

Current Contents

Scientific classification

CORDIS: Health sciences > Medical sciences

Other information

Authenticus ID: P-00M-3DN

DOI: 10.1016/j.rppnen.2016.03.008

Abstract (EN): Children may benefit from minimally invasive surgery (MIS) in the correction of Morgagni hernia (MH). The present study aims to evaluate the outcome of MIS through a multicenter study. National institutions that use MIS in the treatment of MH were included. Demographic, clinical and operative data were analyzed. Thirteen patients with MH (6 males) were operated using similar MIS technique (percutaneous stitches) at a mean age of 22.2 +/- 18.3 months. Six patients had chromosomopathies (46%), five with Down syndrome (39%). Respiratory complaints were the most common presentation (54%). Surgery lasted 95 +/- 23 min. In none of the patients was the hernia sac removed; prosthesis was never used. In the immediate post-operative period, 4 patients (36%) were admitted to intensive care unit (all with Down syndrome); all patients started enteral feeds within the first 24 h. With a mean follow-up of 56 +/- 16.6 months, there were two recurrences (18%) at the same institution, one of which was repaired with an absorbable suture; both with Down syndrome. The application of MIS in the MH repair is effective even in the presence of comorbidities such as Down syndrome; the latter influences the immediate postoperative recovery and possibly the recurrence rate. Removal of hernia sac does not seem necessary. Non-absorbable sutures may be more appropriate. (C) 2016 Sociedade Portuguesa de Pneumologia. Published by Elsevier Espana, S.L.U.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 6