Morgagni Diaphragmatic Hernia in Children: One Center’s Experience

Saud Al Shanafey

Department of Surgery, King Faisal Specialist Hospital and Research Centre, Saudi Arabia

^*Correspondance to: Saud Al Shanafey 

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Abstract:

Background: Morgagni hernia is a rare type of congenital diaphragmatic hernia in children. We reviewed our experience with this anomaly at a tertiary care institution.
Methods: A retrospective chart review was conducted from June 2001 to June 2017. All patients managed for Morgagni hernia were included. Demographic, clinical, and outcome data were collected and descriptive data were generated.
Results: 21 patients with Morgagni hernia were managed over that period. There were 16 males and 5 females with mean age of 25 months. 15 (76%) patients have Down syndrome; 9 of them (43%) had previous sternotomy. 5 right sided, 11 left sided and 5 bilateral. All repaired laparoscopically except one, and mean weight at surgery was 9.7 Kg. Mean operative time was 93 mins, and there were no postoperative complications. Patients were fed on the 1st postoperative day and mean hospital stay was 3 days. Median follow up was 60 months. There was one recurrence after 1 year of repair which was managed laparoscopically.
Conclusion: Morgagni Hernia is feasible to laparoscopic repair with favorable outcome. Our data may suggest an association between Morgagni hernia and Down syndrome but it was not clear if it was congenital or secondary to poor healing post sternotomy.

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Cite the Article:

Al Shanafey S. Morgagni Diaphragmatic Hernia in Children: One Center’s Experience. World J Surg Surgical Res. 2018; 1: 1021.