A Case of Recurrent Morgagni Hernia Treated with a Laparoscopic Mesh Repair

Abstract

A Morgagni hernia is a rare diaphragmatic hernia. We present herein on a case in a 73-year-old woman who underwent laparoscopic repair of a recurrent Morgagni hernia with an expanded polytetrafluoroethylene (ePTFE) sheet. The Morgagni hernia had been repaired with direct suture under the laparoscope eight years previously. An abnormal shadow was seen during chest radiography during a medical check-up, and the patient was referred to our hospital. Chest CT imaging indicated a diagnosis of recurrent Morgagni hernia. Laparoscopic repair was performed. As the area around the hernia was weak, a patch repair was performed with a ePTFE sheet cut to the size of the hernia. As ePTFE sheet can be easily trimmed to the appropriate size, its usefulness in laparoscopic hernia repair is suggested.