Surgical treatment of hernia through the foramen of Morgagni

A series of 25 surgically treated patients with the Morgagni type of diaphragmatic hernia is presented. Twenty-two of the patients were female and three were male. The hernia was on the right side in all of them. Five of the patients had symptoms which were predominantly gastrointestinal. The remainder of the patients were asymptomatic and were admitted to hospital because of an abnormal finding at chest X-ray. All but one were operated transthoracically. In one case an abdominal approach was used because cholecystectomy was performed simultaneously with the hernial repair. In 3 cases the hernail sac contained a portion of transverse colon and in 9 cases, omentum. In 12 there was an accumulation of adipose tissue in the hernial sac, and in 2 cases it was empty when operated. There were no serious complications and no mortalities.