2009, Number 1
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Rev Mex Cir Pediatr 2009; 16 (1)
Diaphragmatic Hernia of Morgagni resolved through assistance laparoscopic
López VVH
Language: Spanish
References: 10
Page: 43-46
PDF size: 52.28 Kb.
ABSTRACT
Introduction: The repair hernias diaphragmatic retroesternales has been described successfully through laparoscopic techniques, demonstrating its feasibility and reproducibility. Described a technique videoasistida for repair of these defects diaphragmatic through points extracorporeal placed through the abdominal wall.
Presentation of the Case Clinico: Female four months of age that the performed an x-ray thoracoabdominal by constipation is displayed default diafragmático earlier. The patient is scheduled in the form elective for repair laparoscopically. The surgical time was 25 minutes. Its recovery was satisfactory tolerating mouth the same day and egresándose the following day. The follow-up to the patient is 14 months and radiologicámente there is no evidence of recurrence.
Discussion: The first repair laparoscopic diaphragmatic hernia retroesternales was described pos Kuster in 1992. Described a technique for closure of the defect placing the points through the abdominal wall, taking with the needle the edge of the defect and emerging points outside the wall leaving the knots subcutaneous, obtained good results, and with greater technical ease.
REFERENCES
Kuster GGR, Kline LE, Garzo G. Diaphragmatic hernia through the foramen of Morgagni: laparoscopic repair case report. J Laparosc Endosc Surg 1992; 2: 93-100
M Lima, Md, G. Riggeri, MD, M. Domini, MD, V. Lauro, MD. Pediatric endosurgery and innovative techniques.Vol 5, Number 2, 2001.
J. Morales, MD, et al. Hernia de Morgagni, Reporte de un caso. Rev. Chilena de Cirugía. Vol 58 - Nº 6, Diciembre 2006; págs. 464-468
Berchi, FJ. Tratamiento laparoscópico de la hernia de Morgagni-Larrey en la infancia. Seclaendosurgery. com (en línea) 2003, no, 2. Disponible en Internet: http://www.seclaendosurgery.com/seclan2/ art04.htm. ISSN: 1698-4412.
R. Ackroyd and D. Watson. Laparoscopic repair of a hernia of Morgagni using a suture technique. .R.Coll.Surg.Edinb., 45, December 2000, 400-402
Raffaele Lanteri, MD, PhD; Marco Santangelo, MD; Cristian Rapisarda, MD; Antonio Di Cataldo, MD; Antonio Licata, MD. Bilateral Morgagni- Larrey Hernia. Arch Surg. 2004;139:1299-1300.
R Caprotii ; Ch Mussi; A Scaini; C Angelini ; F Romano . Laparoscopic repair of a Morgagni- Larrey hernia. International surgery 2005, vol. 90, no3, pp. 175-178 .
Lev-Chelouche D, Ravid A, Michowitz M, Klausner, JM, Kluger Y. Morgagni hernia: unique presentations in elderly patients. J Clin Gastroenterol 1999; 28: 81-82.
Quinteros A, Bancalari M. Hernia diafragmática congénitaen recién nacidos. Rev Chil Pediatr 2001.
J Torralba, R liron, G Morales. Hernia de Morgagni gigante. Tratamiento laparoscópico mediante prótesis bilaminar (composite) de poliéster. Noviembre 2002. Volumen 72 - Número 05 p. 303 – 305.