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Eur J Cardiothorac Surg 2001;20:1016-1019
© 2001 Elsevier Science NL

Transthoracic approach in surgical management of Morgagni hernia

Dalokay Kiliç, Aydin Nadir, Egemen Döner, evket Kavukçu, Murat Akal, Nezih Özdemir, Hadi Akay, lker Ökten

Department of Thoracic Surgery, Ankara University, School of Medicine, 06100 Sihhiye, Ankara, Turkey

Received 16 February 2001; received in revised form 7 May 2001; accepted 19 July 2001.

Corresponding author. Tel.: +90-312-3103333 ext. 3110; fax: +90-312-3106371
e-mail: dalokay7{at}hotmail.com

Objective: Morgagni hernia is an uncommon type of diaphragmatic hernias. Numerous approaches have been described and, particularly the significance of laparatomy has been emphasized as an operative technique. We present our experience on patients with Morgagni hernia operated on via transthoracic approach in our department. Materials and methods: Between January 1986 and March 2000, 16 patients with Morgagni hernia were operated in our department. Their ages ranged from 16 to 68 years (mean 51.5). Five (31.25%) patients were male, and 11 (68.75%) patients were female. Chest roentgenograms, thorax CT, barium enema roentgenographic studies were used as diagnostic utilities. Right posterolateral thoracotomy was performed in all patients. Results: Hernia sac was present in all cases. Exploration revealed omentum in hernia sac in eight patients (50%), colon and omentum in seven patients (44%), only colon in one patient (%6). Postoperative course was uneventful. The mean follow-up was 5.7 years. There was no recurrence or symptoms related to the operation. Conclusions: We advocate transthoracic approach for surgical exposure as it provides wide exposure and easy repair of the hernia sac in Morgagni hernia.

Key Words: Morgagni hernia • Diaphragmatic hernia • Surgery • Thoracotomy

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