Τίτλος:
Management of Morgagni's Hernia in the Adult Population: A Systematic
Review of the Literature
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background Morgagni’s hernia (MH) is defined by the protrusion of
abdominal viscera through an anterior retrosternal diaphragmatic defect.
The objective of this study was to systematically review current
literature on MHs in adult population and assess their clinical
characteristics and therapeutic approach. Methods PubMed and Cochrane
bibliographical databases were searched (last search: 15(th) January
2021) for studies concerning MHs. Results Inclusion criteria were met by
189 studies that included 310 patients (61.0% females) with an age of
57.37 +/- 18.41 (mean +/- SD) years. Pulmonary symptoms, abdominal pain,
and nausea-vomit were among the most frequent symptomatology. MHs were
predominantly right-sided (84.0%), with greater omentum (74.5%) and
transverse colon (65.1%) being the most commonly herniated viscera. The
majority of cases underwent an open procedure, while 42.3% of patients
had a minimally invasive procedure. Abdominal approach was mostly
preferred, while a thoracic one was chosen at 20.6% of cases and a
thoracoabdominal at 3.2%. Thirty-day postoperative complications were
recorded at 29 patients and 30-day mortality was 2.3%. Conclusions MH
is a rare type of congenital diaphragmatic hernia which rarely manifests
in adult population with atypical pulmonary and gastrointestinal
symptoms. Surgery is the gold standard for their management. Open
surgical approach is preferable in emergency cases, while laparoscopic
surgery is favored in elective setting and is associated with shorter
hospitalization. Further studies are crucial in order to elucidate
etiology and optimal therapeutic approach.
Συγγραφείς:
Katsaros, Ioannis
Katelani, Stamatia
Giannopoulos, Spyridon and
Machairas, Nikolaos
Kykalos, Stylianos
Koliakos, Nikolaos and
Kapetanakis, Emmanouil I.
Bakopoulos, Anargyros
Schizas,
Dimitrios
Περιοδικό:
World Journal of Surgery
DOI:
10.1007/s00268-021-06203-3
