Novel laparoscopic hernia of Morgagni repair technique.
Novel laparoscopic hernia of Morgagni repair technique.
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Morgagni新型腹腔镜疝修补术。
DOI：
10.1016/j.jtcvs.2011.07.048
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Lau,ChristineL
中科院分区：
文献类型：
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作者：
Stone,MatthewL;Julien,MatheauA;DunningtonJr,GansevoortH;Lau,ChristineL
讨论Morgagni-Larrey疝占所有需要手术修复的膈疝的3%。图1胸骨后三角形Morgagni孔是由胸骨和肋缘的肌纤维连接膈肌中央腱形成的。1先天性肌纤维发育不全使患者易患胸内腹腔内脏疝，91%的Morgagni疝发生在右侧。2胸内压迫症状是主要的主观主诉，36%的患者出现肺功能受限。我们的病人的表现代表了潜在的致命的心肺功能损害，可以强加给严重的内脏疝和胸内压迫的病人。
DiscussionThe Morgagni-Larrey hernia constitutes 3% of all diaphragmatic hernias that necessitate surgical repair. 1 The triangular retrosternal foramen of Morgagni is formed by muscle fibers originating from the sternum and costal margin as they join the central tendon of the diaphragm. 1 Incomplete congenital muscle fiber development predisposes patients to intrathoracic abdominal visceral herniation, with 91% of Morgagni hernias occurring on the right. 2 Intrathoracic compressive symptoms are the predominant subjective complaint, with pulmonary limitations noted in 36% of patients. 2 Our patient’s presentation represents the potentially fatal cardiopulmonary compromise that can be imposed on patients with significant visceral herniation and intrathoracic compression.