Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
LAPAROSCOPIC REPAIR OF MORGAGNI FORAMEN HERNIA USING EXTRACORPOREAL KNOT TYING METHOD (THE LA GRECA-AZZIE METHOD)
Hajime TAKAYASUJunko YAMAGISHIYushi OTANIYuki ISHIMARUHitoshi IKEDA
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2005 Volume 66 Issue 7 Pages 1600-1604

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Abstract
Morgagni foramen hernia is a relatively uncommon diaphragmatic hernia, and a variety of repairing procedures including those with laparoscopy have been described in the literature. Here we present a case of Morgagni foramen hernia that was laparoscopically successfully repaired. The hernia content, the omentum, was reduced to the abdomen, and the defect was closed by placing nonabsorbable sutures passing through the full thickness of the anterior abdominal wall and the posterior rim of the defect. The method reported already by La Greca and Azzie provides an easy and secure closure of the diaphragmatic defect in which the anterior rim is usually absent. It also gives an excellent cosmetic benefit as the sutures are tied in the subcutaneous tissue.
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