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Minimally Invasive Repair of Morgagni Hernia - A Multicenter Case Series

2016-04-30Journal article Open access
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dc.contributor.authorLamas-Pinheiro, R
dc.contributor.authorPereira, J
dc.contributor.authorCarvalho, F
dc.contributor.authorHorta, P
dc.contributor.authorOchoa, A
dc.contributor.authorKnoblich, M
dc.contributor.authorHenriques, J
dc.contributor.authorHenriques-Coelho, T
dc.contributor.authorCorreia-Pinto, J
dc.contributor.authorCasella, P
dc.contributor.authorEstevão-Costa, J
dc.date.accessioned2016-05-10T13:47:07Z
dc.date.available2016-05-10T13:47:07Z
dc.date.issued2016-04-30
dc.description.abstractChildren 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.pt_PT
dc.identifier.citationRev Port Pneumol. 2016 Apr 30. pii: S2173-5pt_PT
dc.identifier.doi10.1016/j.rppnen.2016.03.008pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2477
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier Españapt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectDiaphragmatic herniapt_PT
dc.subjectLaparoscopypt_PT
dc.subjectMinimally invasive surgerypt_PT
dc.subjectMorgagni herniapt_PT
dc.subjectChildpt_PT
dc.subjectHDE CIR PEDpt_PT
dc.titleMinimally Invasive Repair of Morgagni Hernia - A Multicenter Case Seriespt_PT
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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