Outcome of Laparoscopic Repair of Morgagni Hernia with Sac Excision in Children: Single Center Experience

Abstract Background: Morgagni hernia is a rare anomaly in which abdominal organs herniate into the thorax through an anterome-dial diaphragmatic opening. The standard approach for repair was traditionally through laparotomy or, less commonly, thor-acotomy. However, in the era of minimally invasive surgery, laparoscopic repair of Morgagni hernia has become the most common approach. Aim of Study: This study aims to assess the outcomes of laparoscopic repair of MH with sac excision. Material and Methods: We retrospectively reviewed the medical records of all cases of Morgagni hernia operated by laparoscopic assisted approach with sac excision from Jan. 2020 to Jan. 2024 in Mansoura University Children’s Hospital. We reviewed demographic data, symptoms, operative findings, operation details, and postoperative follow up of the patients. Results: A total of 10 patients with Morgagni hernia were operated via laparoscopic approach with extracorporeal sutures. There were 4 girls (40%) and 6 boys (60%). Median age of sur-gery was 19 months. Associated malformations were present in 6 children (60%). All children underwent laparoscopic ap-proach with sac excision and extracorporeally ligated sutures. Mean operative time was 71.2±10.4 minutes. The duration of hospital stay ranged from 1 to 2 days postoperatively. There were no intraoperative or early postoperative complications. There was no recurrence during the period of follow-up. Conclusions: Laparoscopic-assisted approach is safe and effective choice for repair of MH. Excision of the sac may have a role in minimizing recurrences in those patients.