Related Experiment Video
Updated: Mar 21, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Minimally invasive repair of Morgagni hernia - A multicenter case series
R Lamas-Pinheiro1, J Pereira2, F Carvalho2
1Pediatric Surgery Department, Faculty of Medicine, Hospital São João, Porto, Portugal.
Abstract:
Children may benefit from minimally invasive surgery (MIS) in the correction of Morgagni hernia (MH). The present study aims to evaluate the outcome of MIS through a multicenter study. National institutions that use MIS in the treatment of MH were included. Demographic, clinical and operative data were analyzed. Thirteen patients with MH (6 males) were operated using similar MIS technique (percutaneous stitches) at a mean age of 22.2±18.3 months. Six patients had chromosomopathies (46%), five with Down syndrome (39%). Respiratory complaints were the most common presentation (54%). Surgery lasted 95±23min. In none of the patients was the hernia sac removed; prosthesis was never used. In the immediate post-operative period, 4 patients (36%) were admitted to intensive care unit (all with Down syndrome); all patients started enteral feeds within the first 24h. With a mean follow-up of 56±16.6 months, there were two recurrences (18%) at the same institution, one of which was repaired with an absorbable suture; both with Down syndrome. The application of MIS in the MH repair is effective even in the presence of comorbidities such as Down syndrome; the latter influences the immediate postoperative recovery and possibly the recurrence rate. Removal of hernia sac does not seem necessary. Non-absorbable sutures may be more appropriate.
Insights
Minimally invasive surgery (MIS) is effective for Morgagni hernia (MH) repair in children, even with Down syndrome. Hernia sac removal and prosthesis are unnecessary, but non-absorbable sutures may reduce recurrence.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Surgical Innovation
Background:
- Morgagni hernia (MH) is a rare congenital diaphragmatic hernia.
- Minimally invasive surgery (MIS) offers potential benefits for pediatric MH repair.
Purpose of the Study:
- To evaluate the outcomes of MIS for Morgagni hernia repair in children.
- To assess the impact of comorbidities, such as Down syndrome, on MIS outcomes for MH.
Main Methods:
- A multicenter study analyzing demographic, clinical, and operative data.
- Thirteen pediatric patients with MH underwent MIS using percutaneous stitches.
- Follow-up data were collected to assess recurrence and long-term outcomes.
Main Results:
- MIS repair of MH was effective, with no need for hernia sac removal or prosthesis.
- Patients with Down syndrome experienced longer intensive care unit stays and higher recurrence rates (18%).
- Surgery duration averaged 95 minutes, and enteral feeds were initiated within 24 hours postoperatively.
Conclusions:
- Minimally invasive surgery is a viable and effective approach for pediatric Morgagni hernia repair.
- Comorbidities like Down syndrome can influence postoperative recovery and recurrence risk.
- Hernia sac excision is not essential; non-absorbable sutures may be preferable for improved outcomes.
