LAPAROSCOPIC REPAIR OF GIANT DIAPHRAGMATIC HERNIA OF MORGAGNI WITH PTFE PROSTHETIC REINFORCEMENT

Abstract

Morgagni hernias are congenital defects that occur in the retroxyphoid region and account for approximately 2-3% of surgically treated diaphragmatic hernias. Traditional treatment for this type of hernia involves repair through a transabdominal or transthoracic approach. We present the case of a 41-year-old male patient that is admitted through the Emergency Department with a history of progressive shortness of breath and upper gastrointestinal bleeding. The etiology was giant diaphragmatic hernia with incarcerated transverse colon and great omentum, which was subsequently treated with laparoscopic approach. For the repair, we used prosthesis made of PTFE to secure the suture line. The patient recovered uneventfully and was followed for 10 months postoperatively and had no evidence of recurrence or new complaints. Significant improvement in spirometric parameters and improved quality of life of the patient postoperatively were established. The use of a PTFE prosthetic patch to strengthen the repair of the Morgagni hernia defect may be proposed as a suitable method for repairing large diaphragmatic hernias.