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Laparoscopic mesh repair of a M orgagni hernia using the double‐crown technique: A case study
Author(s) -
Kaida Takeshi,
Ikeda Atsushi,
Shimoda Hirofumi,
Sako Hiroyuki,
Uchida Hiroshi,
Wada Masahiro,
Ikeda Ken,
Okusawa Seijiro,
Watanabe Masahiko
Publication year - 2014
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12120
Subject(s) - medicine , surgery , hernia , laparoscopy , body orifice , abdominal wall , hernia repair , anatomy
We report a case of M orgagni hernia in which the patient underwent laparoscopic mesh repair. A 65‐year‐old woman presented with an abnormal shadow in the right lower lung field on a routine medical checkup. CT showed that the transverse colon passed between the liver and abdominal wall, and herniated into the thoracic cavity. Simple closure was precluded by the large hernial orifice. We therefore performed laparoscopic repair using a P arietex O ptimized C omposite M esh. The double‐crown technique was used to fix the margin of the mesh to the region around the hernial orifice. Our procedure for repair of a M orgagni hernia with a large hernial orifice is safe and minimally invasive, and it may effectively prevent recurrence.