Repair of Morgagni Hernia through the Abdominal Approach - A case report -

복부접근법을 이용한 Morgagni Hernia의 교정 - 1예 보고 -

  • Hwang, Jung-Joo (Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital) ;
  • Kim, Do-Hyung (Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital) ;
  • Lee, Yang-Deok (Department of Internal Medicine, Eulji University Hospital) ;
  • Kim, Kil-Dong (Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital)
  • 황정주 (을지대학병원 흉부외과학교실) ;
  • 김도형 (을지대학병원 흉부외과학교실) ;
  • 이양덕 (을지대학병원 내과학교실) ;
  • 김길동 (을지대학병원 흉부외과학교실)
  • Published : 2007.10.05

Abstract

Morgagni's hernia constitutes about 3% of all the congenital diaphragm hernias. It is usually asymptomatic and it is frequently found coincidentally during routine diagnostic testing in adulthood. It is usually diagnosed by simple chest X-ray, but when this condition is without intestinal herniation, then chest CT or other modalities are necessary. Operative repair is desirable when there is the risk of strangulation of the intestine. The trans-thoracic or trans-abdominal approaches are possible to treat this malady. We report here on one case for which we successfully used a laparoscopic approach to treat this problem.

Morgagni 탈장은 선천성 탈장의 약 3%를 차지하며 주로 증상이 없이 우연히 성인기에 발견된다. 단순 흉부촬영으로 쉽게 진단될 수 있으나 탈장이 없는 경우는 흉부 전산화 단층 촬영 등으로 진단된다. 장관의 감돈 위험이 있으므로 발견되면 수술적 치료가 바람직하다. 흉강이나 복강으로 접근이 가능하나 본 저자들은 복강경을 이용하여 교정이 가능하였기에 보고하는 바이다.

Keywords

References

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