Robotic repair of large Morgagni hernia in an adolescent girl

Research output: Contribution to journalArticle

Abstract

Introduction
Successful robotic repair of Morgagni hernias has been reported a few times, but in these cases the hernia content was rather minimal or unspecified. The goal of this case report is to demonstrate the feasibility of robotic repair of a Morgagni hernia in an adolescent girl, even with massive hernia content.

Case report
The case of a15-year-old girl with incidental discovery of a huge Morgagni hernia is presented. The hernia contained the stomach, part of the colon, small intestine and a significant portion of the mesentery. Repair was successfully carried out with the da Vinci Xi Surgical System® (Intuitive Surgical, Sunnyvale, USA. Overall surgery time was 2 h and 10 min, including a 13-min docking time. The procedure was uneventful. Postoperative pain was minimal and oral intake possible on the first day after surgery.

Discussion
The advantages of laparoscopic vs open surgery in closing Morgagni hernia's are evident. The main advantage of robotic surgery over laparoscopic surgery in this case was the enhanced maneuverability and view.

Conclusion
This case demonstrates that robotic repair of a Morgagni hernia, even with massive hernia content, is feasible in adolescents. However, whether robotic surgery in general, and for Morgagni hernia in particular, is superior to laparoscopy in children, remains to be proven.
Original languageEnglish
Pages (from-to)51-53
Number of pages3
JournalJournal of Pediatric Surgery Case Reports
Volume41
Early online date10 Dec 2018
DOIs
Publication statusPublished - Feb 2019

Fingerprint Dive into the research topics of 'Robotic repair of large Morgagni hernia in an adolescent girl'. Together they form a unique fingerprint.

Cite this