Laparoscopic Repair of Larrey (Left-Sided Morgagni) Hernia: Technical Considerations

In 1769, Morgagni described the diaphragmatic hernia carrying his name, whist doing a post mortem on a head injury patient. Independently, Larrey had described a left-sided “anterior sternoscostal” hernia, and so left-sided Morgagni hernia is also known as a Larrey hernia. It is a very rare type of...

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Bibliographic Details
Published in:Indian journal of surgery 2018-08, Vol.80 (4), p.395-398
Main Authors: Rajkumar, J. S., Tadimari, Hema, Akbar, S., Rajkumar, Anirudh, Kothari, Aanchal, Sai Vishnupriya, V., Rajkumar, Shreya, Aluru, Jayakrishna Reddy
Format: Article
Language:English
Subjects:
Abdomen
Cardiac Surgery
Defects
Head injuries
Health aspects
Hernia
Hernias
Laparoscopy
Medicine
Medicine & Public Health
Neurosurgery
Pediatric Surgery
Plastic Surgery
Surgery
Surgical mesh
Surgical Techniques and Innovations
Thoracic Surgery
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Summary:In 1769, Morgagni described the diaphragmatic hernia carrying his name, whist doing a post mortem on a head injury patient. Independently, Larrey had described a left-sided “anterior sternoscostal” hernia, and so left-sided Morgagni hernia is also known as a Larrey hernia. It is a very rare type of congenital diaphragmatic hernia with an incidence of 1–3%. It is caused by failure of fusion in the anterior portion of the pleuroperitoneal membrane resulting in retrosternal defect in the diaphragm. Although infants present with recurrent respiratory infections, they can often go unnoticed for several decades. In this case report, we present a 48-year-old male, diagnosed with Larrey hernia who underwent successful total laparoscopic suture repair and Meshplasty. The sac contents were reduced, and the sac was not excised. The edges were approximated, and the mesh was placed to widely cover the defect and suture to the abdominal wall all around. Relevant literature and technical considerations are discussed in this article.
ISSN:0972-2068
0973-9793
DOI:10.1007/s12262-018-1774-8