Minimally invasive surgery approach for diaphragmatic Morgagni hernia in children

Background: Morgagni hernia is the rarest form of diaphragmatic hernia and accounts for less than 6% of all surgically treated congenital diaphragmatic hernias. In recent years, laparoscopic repair is considered to be a suitable and safe procedure for the treatment of Morgagni hernia. Material and methods: During the last 8 years, 7 patients with Morgagni hernia underwent laparoscopic hernia repair. All patients were male and the age range was between 2.5 to 10 years. All patients were asymptomatc and the hernia was incidentally diagnosed on a routine chest X-ray conducted for unrelated cause. Results: All patients successfully underwent laparoscopic repair of Morgagni hernia. The postoperative course was uneventful in all patients. The children were discharged between 2 to 4 days following surgery. Long term follow-up was uneventful with no recurrency. Conclusion: On the basis of our experience as well as others, we consider laparoscopic repair as the procedure of choice for the surgical treatment of Morgagni hernia.