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[Larrey or Morgagni hernias treated by laparoscopy]
1Service des urgences de chirurgie viscérale et thoracique CHU IBN Rochd, Casablanca.
Introduction:
Diaphragmatic hernia or Morgagni-Larrey hernia is a rare entity. Its treatment is surgical and hence raises the question of the surgical approach.
Observations:
Two patients underwent laparoscopic surgery for Morgagni-Larrey hernia. The first, aged 17 exhibited a chromosomic abnormality (trisomie 21). The second was 18 years old. Both patients underwent surgery by laparoscopy. In both cases, the surgical act performed was resection of the hernia and closure of the orifice with separate sutures. Their post-surgical courses were uneventful, even two years later.
Comments:
In the age of mini-invasive surgery, laparoscopy is an excellent alternative to laparotomy in this benign pathology.