A Morgagni’s hernia is a congenital defect found in the anterior aspect of the diaphragm between the costal and the sternal portions of this muscle. The present study was conducted to compare laparoscopic and open procedures for the management of Morgagni’s hernia.
Materials and methods: 56 cases of Morgagni’s hernia were divided into 2 groups of 28 each. Figure 1 were treated laparoscopically and figure 2 with open operation. Location of the hernia sac and its contents, postoperative complications, and duration of hospital stay were recorded.
Results: Out of 56 patients, males were 36 and females were 20. Hernia side was left in 15 in figure 1 and 14 in figure 2, right in 13 in figure 1 and 14 in figure 2. Methods used was emergency operation 10 in figure 1 and 5 in figure 2, elective operation 16 in figure 1 and 23 in figure 2. Mesh was used in 16 and 7 in figure 1 and II respectively, suture 10 in figure 2 and combination of mesh+ suture in 10 and 6 in figure 1 and II respectively. Postoperative stay was 5.4 days and 10.2 days in figure 1 and II respectively. The difference was significant (P< 0.05).
Conclusion: In Morgagni’s hernias, surgical intervention is essential as the hernia may cause complications such as strangulation of the colon. A laparoscopic method has benefits of limited hospital stay than open method.