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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
Robotic assisted repair of morgagni hernia
symptomatic or asymptomatic morgagni hernia
Inability to tolerate pneumoperitoneum because of medical comorbidities, previous extensive surgery (relative)
Robotic Surgical System
Harmonic Scalpel
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.
CT scan of the chest, abdomen and pelvis.
N/A
Complications are hernia recurrence and injury to incarcerated contents during reduction.
Complications are hernia recurrence and injury to incarcerated contents during reduction.
N/A
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