In , Morgagni described the classical anterior diaphragmatic hernia, which today bears his name—Morgagni hernia. In , Bochdalek described both. Folia Morphol (Warsz). Feb;70(1) A review of Morgagni and Bochdalek hernias in adults. Gedik E(1), Tuncer MC, Onat S, Avci A, Tacyildiz I, Bac B. Most CDHs that are recognized in utero are of the Bochdalek type, resulting from a posterior defect in the diaphragm. Morgagni hernias result from an anterior.
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Diaphragm is the muscle that separates the chest cavity from the abdominal cavity.
With a diaphragmatic hernia some of the organs normally present in the abdomen move up into the chest bofhdalek. There are two types of diaphragmatic hernia: In this type of hernia stomach and the intestines move up into the chest cavity through an opening on the left side of the diaphragm called the Bochdalek formen. In this type of hernia liver and the intestines move up into the chest cavity through an opening in the central of the diaphragm called Morgagni foramen.
Schematic of diaphragm showing the Bochdalek and Morgagni formina. When a part of the diaphragm, either towards its centre or its periphery fails to develop properly a diaphragmatic hernia ensues. The precise reason why this happens is not known.
Sometimes as a result of an accident or injury to the chest with a hrenia object the diaphragm gets damaged.
The initial episode may get treated but the gap in the diaphragm goes un-noticed. This may progress to a larger gap and produce a hernia traumatic diaphragmatic hernia. Schematic showing intestines migrated into the chest. A baby born with a diaphragmatic hernia usually develops symptoms soon after birth. At times, the symptoms may not become obvious till adulthood.
The symptoms are henria of two types:.
In adults the diaphragmatic hernias may be bochdalej from a chest x-ray performed for an unrelated problem. A CT scan of the chest and abdomen may be performed that lets the doctors assess how the various organs of the digestive system and the lungs lie within the chest and abdominal cavity.
Assessment of the function of hernoa lungs pulmonary function tests and other specialised tests may be required if a surgery is planned for fixing the diaphragmatic hernia in an adult patient.
A review of Morgagni and Bochdalek hernias in adults.
If the stomach or loops of the small intestine get trapped in this manner the blood supply to these organs may get jeopardised and make the patient seriously ill. In view of this once a diaphragmatic hernia is diagnosed in adult surgery is recommended to fix the problem.
Traditionally treatment of diaphragmatic hernias was performed by open surgery either by making an incision on the abdomen or the chest. Today most of the hernias can be repaired by laparoscopic or thoracoscopic surgery.
Congenital diaphragmatic hernias – Knowledge for medical students and physicians
The suitability of one or the other approaches is decided by the surgeon based on the type and size of hernia. Both these operation is performed under general anaesthesia. The morgangi makes three or four small incisions either on the abdomen or the chest, views the area of the hernia and gently reduces the contents that have passed through the hernial defect to their proper place.
After this the hernial defect is closed herina permanent or non-absorbable sutures and the area is strengthened by fixing a piece of a special mesh or a net.
This ensures that the hernia does not recur.
Laparoscopic or thoracoscopic surgery for diaphragmatic hernia is a complex operation that is undertaken by experienced surgeons. In a small number of patients an attempted laparoscopic or thoracoscopic operation may not be successful if the organs stuck in the defect have lost their blood supply and becomes gangrenous. In such instances it is usually necessary to convert to an open operation and remove a portion of the gangrenous organ and fix the hernia.
Download Diaphragmatic Hernia Brochure. Powered by Plus91 Technologies Pvt. About the website Privacy Statement Disclaimer. What is a diaphragmatic hernia? What causes a diaphragmatic hernia? What signs and symptoms does a diaphragmtic hernia produce in an adult? The symptoms are generally of two types: Symptoms as a result of pressure on the organs in the chest, e. How is a diaphragmatic hernia diagnosed? X-ray of chest shows intestinal shadow arrow above the diaphragm CT scn shows part of the stomach arrow in the chest.
morgayni What are the treatment options? How is the surgery for a diaphragmatic hernia performed? Laparoscopic repair of a Bochdalek hernia in progress A left Bochdalek hernia being repaired by thoracoscopy.
What happens if the operation cannot be performed by the laparoscopic or a thoracoscopic method? What are the advantages of a laparoscopic or thoracoscopic repair of diaphragmatic hernia? Less pain from the incisions after surgery Shorter hospital stay Shorter recovery time Faster return to normal diet Faster return to work or normal activity Better cosmetic healing. Minimal access surgery for diaphragmatic disorders.
Minimal nochdalek surgery for diaphragmatic and hiatus hernia. Kolhapur Surgical Society, Kolhapur, Other Hernia We Treat: Our Experts Have Solution. Practice Locations Hinduja Hospital. X-ray of chest shows intestinal shadow arrow above the diaphragm. CT scn shows part of the stomach arrow in the chest. Laparoscopic repair of a Bochdalek bochdaek in progress. A left Bochdalek hernia being repaired by thoracoscopy.