Robotic Assisted Repair of Morgagni Hernia

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
  • Clearly annotated and narration is a must in these videos
  • These have clear but concise abstracts are not able to be indexed in PubMed
  • Distributed in newsletters, featured on our website and social media
  • Peer reviewed

Author: Michelle DeLeon, MD
Published:
Specialties: Cardiothoracic Surgery, General Surgery, Robotic Surgery
Schools: Jersey Shore University Medical Center, Rutgers- Robert Wood Johnson Medical School
0 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 5 (0 votes, average: 0.00 out of 5)
You need to be a registered member to rate this post.
Loading...
Basic Info

Contributors: Thomas Bauer, MD and Glenn Parker, MD

Up to 25 % of diaphragmatic hernias may be incidentally diagnosed in adulthood. If symptomatic, patients often present with epigastric pain, chest pain or persistent cough. When found, they should be repaired to prevent incarceration and strangulation.

DOI #: http://dx.doi.org/10.17797/wy2y9m77gv

Advanced

Procedure

Robotic assisted repair of morgagni hernia

Indications

symptomatic or asymptomatic morgagni hernia

Contraindications

Inability to tolerate pneumoperitoneum because of medical comorbidities, previous extensive surgery (relative)

Instrumentation

Setup

The patient is placed in the supine position and the robot is docked in the left lower quadrant. The camera is placed in the supraumbilical region, and two 8 mm trocars are placed in the right and left midclavicular area in line with the camera. A right upper quadrant assistant port is placed.

Preoperative Workup

CT scan of the chest, abdomen and pelvis.

Anatomy and Landmarks

Advantages/Disadvantages

Advantages of the robot for repair of morgagni hernias lies primarily in the wrist like action of the robotic arms. This enables the surgeon to easily suture the defect primarily. It also enables the repair to be done minimally invasively, allowing for less post operative pain and a shorter hospital stay. Disadvantages may include cost.

Complications/Risks

Complications are hernia recurrence and injury to incarcerated contents during reduction.

Disclosure of Conflicts

Complications are hernia recurrence and injury to incarcerated contents during reduction.

Acknowledgements

References

Share
0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply