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The waiting game: laparoscopic repair of dual Morgagni and paraesophageal hernias in an elderly infirm patient

机译:等待中的游戏:对年老体弱的患者进行腹腔镜双摩加和食管旁疝修补术

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摘要

Morgagni hernias are congenital diaphragmatic disruptions that occur when intra-abdominal organs herniate posterior to the sternum. It is very rare to concomitantly diagnose a paraesophageal hernia (PEH) in a patient with a Morgagni hernia. Here, we describe an elderly female patient presenting with severe chest pain subsequently diagnosed with a non-strangulated Morgagni hernia as well as PEH. She underwent successful robotic laparoscopic surgical repair of the hernias with resolution of her symptoms. This case demonstrates the need for early surgical intervention of Morgagni hernias to prevent sequelae, such as strangulation, and the rising benefits of laparoscopic repairs in adult patients.
机译:Morgagni疝是先天性diaphragm肌破裂,发生在腹腔内器官在胸骨后突出时。伴有Morgagni疝气的患者很少伴发食管旁疝(PEH)。在这里,我们描述了一位老年女性患者,患有严重的胸痛,随后被诊断为无绞痛的莫尔加尼疝气和PEH。她成功治愈了疝气,并通过机械腹腔镜手术修复了症状。该病例表明,必须对Morgagni疝气进行早期外科手术以预防后遗症,例如绞窄和成年患者腹腔镜修复的益处不断增加。

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