Sanjeev Dutta, MD MBA MA

Publication Details

  • Use of a prosthetic patch for laparoscopic repair of Morgagni diaphragmatic hernia in children JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES Dutta, S., Albanese, C. T. 2007; 17 (3): 391-394

    Abstract:

    Morgagni hernias are well suited to laparoscopic repair. A primary suture closure may result in tension on the repair, thereby predisposing the patient to a recurrence. A prosthetic patch (PP) can be used to provide a tension-free repair. In this study, we reviewed our experience with the laparoscopic PP repair of Morgagni hernias in children.A retrospective chart review of all patients undergoing a laparoscopic Morgagni hernia repair using a PP was undertaken between November 2002 and January 2006. Outcome measures included age, gender, defect size, use of mesh, and outcome. The time of follow-up was from 6 to 37 months.Seven (7) patients (6 male, 1 female) underwent a laparoscopic repair of Morgagni hernia during this time period. Six (6) patients had a congenital hernia, and 1 patient was thought to have an iatrogenic hernia following a sternotomy for heart surgery. Defect size ranged from 4 to 7 cm in maximum dimension. All operations were completed laparoscopically, no patients presented with recurrence, and no PP complications were encountered.The laparoscopic repair of Morgagni hernia using a PP can be performed with relative ease and with a positive outcome, and may prevent future recurrence by effecting a tension-free repair.

    View details for DOI 10.1089/lap.2006.0113

    View details for Web of Science ID 000247349500028

    View details for PubMedID 17570796

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