Abstract Issue

Volume 13 Issue 3 (March) 2024

Original Articles

Evaluation of outcome of management of Morgagni’s hernia
Dr. Spandan Yadav, Dr. Shekhar Singh Jadon

Background:Morgagni's hernia, also known as a retrosternal or parasternal hernia, is a type of congenital diaphragmatic hernia characterized by the protrusion of abdominal organs, typically the stomach, small intestine, or omentum, through a defect in the anterior diaphragmatic hiatus. The present study was conducted to evaluate the outcome of management of Morgagni’s hernia. Materials & Methods:74 patients of Morgagni’s hernia of both genderswere divided into 2 groups of 37 each. Group I were treated with open operation and group II laparoscopically. Parameters such as hernia side, method, procedure, and duration of hospital stay were recorded. Results: Out of 74 patients, males were 40 and females were 34. Methods used was elective operation 28 in group I and 25 in group II, and emergency operation 9 in group I and 12 in group II. Hernia side was left in 19 in group I and 20 in group II, and right in 18 in group I and 17 in group II. Procedure was mesh in 18 and 26 in group I and II respectively, suture 14 in group I and mesh+ suture in 7 and 11 in group I and II respectively. Postoperative stay was 10.1 days in group I and 5.2 days in group II respectively. The difference was significant (P< 0.05). Conclusion:Surgical intervention is necessary in cases of Morgagni's hernias since the hernia may result in consequences including colon strangulation. Compared to open surgery, laparoscopic surgery offers the advantage of a shorter hospital stay.

 
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