Cardiac Effusion after Repair of Morgagni and Hiato´s Hernia by Laparoscopy
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The publication are distributed under the Creative Commons Attribution 4.0 International license (CC BY 4.0). The rights of the works published in this journal are the property of the author and they are free to distribute and disseminate them, as long as the source is correctly cited.
Main Article Content
Abstract
Morgagni's hernia is a malformation that occurs in 3-5% of diaphragmatic hernias, most of which are asymptomatic. Laparoscopic repair has several advantages over traditional treatment. The complication rate is below 5%. Cardiac tamponade is a rare complication after laparoscopic surgery.
We present a case of a woman who, after undergoing laparocopy for a Morgagni hernia, suffered cardiac tamponade. An emergency approach was performed, using a sternotomy, and the Tacker device that caused the effusion by laceration of the right ventricle through the diaphragm was removed.
References
Durak, E., Gur, S., Cokmez, A., Atahan, K., Zahtz, E., & Tarcan, E. (2007). Laparoscopic repair of Morgagni hernia. Hernia : the journal of hernias and abdominal wall surgery, 11(3), 265–270. https://doi.org/10.1007/s10029-006-0178-z
Frantzides, C. T., & Welle, S. N. (2012). Cardiac tamponade as a life-threatening complication in hernia repair. Surgery, 152(1), 133–135. https://doi.org/10.1016/j.surg.2011.08.009
Horton, J. D., Hofmann, L. J., & Hetz, S. P. (2008). Presentation and management of Morgagni hernias in adults: a review of 298 cases. Surgical endoscopy, 22(6), 1413–1420. https://doi.org/10.1007/s00464-008-9754-x
Luostarinen, M., Rantalainen, M., Helve, O., Reinikainen, P., & Isolauri, J. (1998). Late results of paraoesophageal hiatus hernia repair with fundoplication. The British journal of surgery, 85(2), 272–275. https://doi.org/10.1046/j.1365-2168.1998.00508.x
Paz, Y. E., Vazquez, J., & Bessler, M. (2011). Cardiac tamponade as a complication of laparoscopic hiatal hernia repair: case report and literature review. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 78(5), 819–821. https://doi.org/10.1002/ccd.23178
Terrosu, G., Brizzolari, M., Intini, S., Cattin, F., Bresadola, V., & De Anna, D. (2012). Morgagni hernia: technical variation in the laparoscopic treatment. Annali italiani di chirurgia, 83(5), 415–420. https://pubmed.ncbi.nlm.nih.gov/22615038/
Thijssens, K., Hoff, C., & Meyerink, J. (2002). Tackers on the diaphragm. Lancet (London, England), 360(9345), 1586. https://doi.org/10.1016/S0140-6736(02)11530-3