Akademik Veri Yönetim Sistemi
HASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKI, sa.2, ss.27-30, 2009 (ESCI)
Foramen Morgagni hernia is a rare type of congenital diaphragmatic hernias which occurs through anteromedial defect in the diaphragma. Severe approaches are available for repairing foramen of Morgagni hernia and the significance of laparatomy has been particularly emphasized as an operative technique in this paper present our experience on patients with foramen re Motgagni hernia operated via transthoracic approach with anterior mini thoracotomy our department. Between January 2002 and May 2005 six patients with suspicion of foramen of Morgagni hernia were operated via transthoracic approach in our department. Patients ages ranged from 23 to 62 years (mean 45 5). Five patients did not have definitive diagnosis preoperatively. One patient was diagnosed as Morgagni hernia before the operation and had some additional pulmonary complications. five patients were female and one patient was mate, The presenting symptoms were dyspnea (n=4), chest pain (n=2) and gastrointestinal discomfort (n=1)). One. patient die riot have any symptoms. Right anterior mire thoracotomy was performed in ail patients. Hernia sac was present in all cases. Exploration revealed sternum in hernia sac in five patients; colon and (omentum) in one patient. the mean duration of chest tubes was 2 days (1-3) after the operation All patients had an uneventful postoperative recovery, No recurrence occured the 1-3 year follow-up period. Anterior Mire thoracolomy is a safe and effective way for primary repairment the foremen of Morgagni hernia when trans-thoracic approach preferred.