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Revista Chilena de Cirugía
Article . 2016 . Peer-reviewed
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Revista Chilena de Cirugía
Article
License: CC BY NC ND
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Revista Chilena de Cirugía
Article . 2016
License: CC BY NC ND
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Reparación laparoscópica de hernia de Morgagni en un adulto: reporte de caso

Authors: Guerrero-Hernández, Armando; Reyna-Sepúlveda, Francisco; Palacios-Zertuche, Jorge; Fernández-Treviño, José; Hernández-Guedea, Marco; Muñoz-Maldonado, Gerardo;

Reparación laparoscópica de hernia de Morgagni en un adulto: reporte de caso

Abstract

ResumenAntecedentesLa hernia de Morgagni (HM) es una anomalía rara que constituye el 2-5% de las todas las hernias diafragmáticas, siendo rara su evolución hasta la edad adulta.Caso clínicoPaciente masculino de 34 años que padece durante 3 años cuadros de mareos, diaforesis y disnea de leve a intermitente. En examen físico se ausculta hemitórax derecho hipoventilado. Se le realiza telerradiografía de tórax y tomografía axial computada (TAC), realizando diagnóstico de HM. Se repara quirúrgicamente mediante abordaje laparoscópico exitoso.DiscusiónLa HM corresponde a un defecto congénito de la cara anteromedial del diafragma, cuya presentación es infrecuente en el adulto. Comprende menos del 5% de las hernias diafragmáticas congénitas.ConclusiónEste reporte de caso confirma el concepto de la literatura sobre las ventajas conocidas del tratamiento laparoscópico de esta rara patología.AbstractBackgroundMorgagni hernia (MH) is a rare anomaly that constitutes 2-5% of all diaphragmatic hernias, the evolution until adult life is rare.Clinical case34 year old patient who referred 3 years with mild effort dyspnea. During physical exploration right hemithorax was found with hypoventilated. Chest x-ray showed right diaphragmatic herniation. Computer tomography (CT) diagnosed Morgagni herniation. The patient was programmed for laparoscopic repair with double layer mesh and it was fixated with tackers.DiscussionMorgagni herniation corresponds to a genetical defect in the anteromedial diaphragm, this presentation is rare in adults. It represents 5% of congenital hernias.ConclusionLaparoscopic repair takes much less time to operate, faster recovery time and less postsurgical pain with short hospital stay.

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Keywords

Adult, Morgagni, Hernia, Adulto, Surgery

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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