dc.contributor.author |
Yılmaz, Mehmet |
|
dc.contributor.author |
Işık, Burak |
|
dc.contributor.author |
Çoban, Sacid |
|
dc.contributor.author |
Söğütlü, Gökhan |
|
dc.contributor.author |
Ara, Cengiz |
|
dc.contributor.author |
Kırımlıoğlu, Vedat |
|
dc.contributor.author |
Yılmaz, Sezai |
|
dc.date.accessioned |
2017-12-06T07:58:21Z |
|
dc.date.available |
2017-12-06T07:58:21Z |
|
dc.date.issued |
2006 |
|
dc.identifier.citation |
Yılmaz M., Isık B., Çoban S., Sögütlü G., Ara C., Kırımlıoğlu V., Yılmaz S., Kayaalp C. (2006) Transabdominal approach in the surgical management of morgagni hernia. Surgery Today. |
tr_TR |
dc.identifier.uri |
https://link.springer.com/content/pdf/10.1007%2Fs00595-006-3336-0.pdf |
|
dc.identifier.uri |
http://hdl.handle.net/11616/7863 |
|
dc.description |
Surg Today (2007) 37:9–13. |
tr_TR |
dc.description.abstract |
Purpose. Morgagni hernias are uncommon diaphragmatic
hernias that are generally asymptomatic, and so
far only limited data have been reported. The objective
of this retrospective study was to evaluate the outcome
of patients presenting with a complicated Morgagni hernia
and who undergo a transabdominal repair.
Methods. Between September 1999 and October 2005,
11 patients with Morgagni hernia were operated on
in our department. Eight of them had acute presentations
because of a complicated Morgagni hernia. The
patient demographics, presenting symptoms, operative
approach, and complications were collected. The
postoperative course was evaluated for morbidity and
mortality.
Results. The patients’ ages ranged from 42 to 85 years
(mean 69.4). Two (18.2%) patients were male and nine
(81.8%) patients were female. Chest roentgenograms,
computed tomography, and contrast meal studies were
used as diagnostic utilities. A transabdominal approach
was used for all patients. One patient died due to pulmonary
failure. The mean follow-up was 2.8 years.
There was no recurrence or symptoms regarding the
operation in the remaining patients.
Conclusion. We recommend the transabdominal approach
in patients with Morgagni hernia as it makes it
easy to reduce the hernia contents and repair of the
hernia sac. Moreover, when complicated with strangulation,
incarceration or perforation, a surgical repair
through a transabdominal approach is mandatory. |
tr_TR |
dc.description.abstract |
Morgagni hernia is a congenital herniation of the abdominal
contents through the retrosternal defect into
the thoracic cavity. In 1769 Morgagni first described a
diaphragmatic hernia that originated from the sternocostal
trigone.1 In 1828 Larrey described a surgical
approach to the pericardial cavity through an anterior
diaphragmatic defect.2 This triangular space is located
between the muscular fibers of xiphosternum and costal
margin fibers protruding into the central tendon.
The lack of fusion in the anterior part of the pleuroperitoneal
membrane and deficiency in the mascularization
result in a hernia in this space. The herniation of
abdominal contents is typically caused by an increase
in intra-abdominal pressure secondary to trauma,
pregnancy, and obesity.3 We herein report our experience
and the suitability of a transabdominal approach
as a surgical procedure in 11 patients with Morgagni
hernia. |
tr_TR |
dc.language.iso |
eng |
tr_TR |
dc.publisher |
Surgery Today |
tr_TR |
dc.relation.isversionof |
10.1007/s00595-006-3336-0 |
tr_TR |
dc.rights |
info:eu-repo/semantics/openAccess |
tr_TR |
dc.subject |
Morgagni hernia |
tr_TR |
dc.subject |
Diaphragmatic hernia |
tr_TR |
dc.subject |
Surgery |
tr_TR |
dc.subject |
Laparotomy |
tr_TR |
dc.subject |
Complication |
tr_TR |
dc.title |
Transabdominal approach in the surgical management of morgagni hernia |
tr_TR |
dc.type |
article |
tr_TR |
dc.relation.ispartof |
Surgery Today |
tr_TR |
dc.department |
İnönü Üniversitesi |
tr_TR |
dc.authorid |
110105 |
tr_TR |
dc.authorid |
109416 |
tr_TR |
dc.authorid |
109416 |
tr_TR |
dc.identifier.volume |
37 |
tr_TR |
dc.identifier.issue |
0 |
tr_TR |
dc.identifier.startpage |
9 |
tr_TR |
dc.identifier.endpage |
13 |
tr_TR |