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Transuterine Fetal Tracheal Occlusion Model in Mice
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Pediatric Morgagni diaphragmatic hernia: a descriptive study.

Jamie Golden1, Wesley E Barry1, Gene Jang1

  • 1Children's Hospital Los Angeles, Division of Pediatric Surgery, 4650 Sunset Blvd, Mailstop 100, Los Angeles, CA, 90027, USA.

Pediatric Surgery International
|March 15, 2017
PubMed
Summary

Morgagni hernias (MH) are rare congenital defects. This study found MH has a male predominance, often causes pulmonary symptoms, and surgical repair yields excellent outcomes with no recurrences.

Keywords:
Congenital diaphragmatic herniaHernia repairLaparoscopicMorgagni herniaPediatric

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Area of Science:

  • Pediatric Surgery
  • Congenital Abnormalities
  • Diaphragmatic Hernias

Background:

  • Morgagni hernia (MH) represents a rare subset (3-4%) of congenital diaphragmatic hernias.
  • Limited data exists on the characteristics and management of this specific defect.
  • Understanding MH is crucial for improving pediatric surgical care.

Purpose of the Study:

  • To characterize pediatric patients diagnosed with Morgagni hernia.
  • To analyze surgical techniques employed for MH repair.
  • To evaluate patient outcomes following MH correction.

Main Methods:

  • Retrospective review of pediatric patients (0-18 years) with MH from 2002-2014.
  • Evaluation of patient demographics, clinical presentation, and operative details.
  • Assessment of surgical outcomes, including complications and recurrence.

Main Results:

  • Twenty-six pediatric patients with MH were identified; 77% were male.
  • Median age at diagnosis was 14.75 months, with 50% presenting symptomatically.
  • Laparoscopic repair was common (16 cases), with colon most frequently herniated; no recurrences were observed.

Conclusions:

  • Congenital Morgagni hernia demonstrates a male predilection and often presents with pulmonary issues.
  • Surgical outcomes for MH are generally excellent, irrespective of the approach used.
  • This study highlights the rarity and favorable prognosis of MH in pediatric patients.