31. Treatment of bilateral morgagni diaphragmatic hernia with laparotomy and the anatomical structure of the falciform ligament and round ligament: A case report
Main Article Content
Abstract
A Morgagni diaphragmatic hernia is rare in adult patients. The choice of surgical technique is still based on the surgeon's experience. A 73-year-old woman was admitted to our hospital with chest pain, without nausea and vomiting. On computed tomography, the transverse colon and great omentum prolapsed into the bilateral thoracic cavity. Laparotomy showed the hernial orifice, which was 30x50mm and 85x17mm in diameter behind the sternum on the right and left side, respectively. Although the transverse colon and omentum had herniated through the defect into the bilateral diaphragm, it was quickly reduced into the abdominal cavity. The diaphragm's base was sutured to the abdominal wall. The Falciform ligament was sutured to cover the hernial orifice. The patient was hospitalised for 12 days. No perioperative complications or hernia recurrence have been observed 11 months since the surgery. The above results show that laparotomy, interrupted sutures, and covered by the Falciform ligaments can be applied to repair Morgagni hernia. However, the effectiveness of this technique needs to be further evaluated with a more significant number of patients.
Article Details
Keywords
Diaphragmatic hernia, Morgagni, Laparotomy, Congenital hernia, Falciform ligament
References
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