经腹腔镜无张力修补胸骨后膈疝两例

Laparoscopic mesh repair of Morgagni hernia:Two-case report

胸骨后膈疝(Morgagni疝)是一种非常罕见的先天性膈疝,约占2%。手术修补是其主要治疗方法,传统方式需开胸或开腹,由于创伤大,限制了其临床应用。我们对2例先天性成人Morgagni疝进行报道,并对其手术方式进行解析。2例患者术后均恢复顺利,术后随访5年未见复发。Morgagni疝经腹腔镜使用补片无张力修补适用于肥胖、老年及双侧Morgagni疝患者。

Morgagni hernia is a rare form(accounting for 2%)of congenital diaphragmatic hernia.The traditional treatment for Morgagni hernia includes thoracotomy and laparotomy.However,surgical trauma limits its adoption.We reported the results of 2 patients with congenital Morgagni hernias in adults and described the operation methods of the patients.The 2 patients recovered uneventfully.No evidence of recurrence was found after 5 years follow-up.Laparoscopic repair for Morgagni hernia with mesh is applicable for obese,aged and bilateral Morgagni hernias patients.