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Minimally Invasive Surgical Repair Of A Huge Morgagni-Larrey Hernia
Desislav Vrachanski, Teodor Atanasov, Stoyan Sopotensky, Peter A. Tcherveniakov, Anthony Philipov, Alexander Tcherveniakov
Pirogov University Hospital, Sofia, Bulgaria.

OBJECTIVE: We demonstrate a minimally-invasive technique for surgical repair of a giant Morgagni-Larrey hernia. At two years follow-up a 3D-CT and laparoscopy were performed.
METHODS: Chest radiographs and 3D-CT were used for diagnostics. Five port laparoscopy was performed to correct the diaphragmatic defect.
RESULTS: A 55 year-old patient presented with chest pain following a blunt thoracoabdominal trauma. Chest radiographs demonstrated a dense mass in the precordial space suspected to be a diaphragmatic rupture. Laparoscopy was performed to correct the defect which was a huge Morgagni-Larrey hernia and not a rupture. At follow-up after two years a 3D-CT and laparoscopy were performed to evaluate the previous operation, and then to repair a port-site hernia. There were no intra- or postoperative complications.
CONCLUSIONS: The minimally-invasive surgical approach is safe and effective for repair of giant Morgagni-Larrey hernias.

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