Morgagni Hernia: Management in a 77-Year-Old Female With a Robotic Approach

TL;DR

A 77-year-old woman with a rare Morgagni hernia was successfully treated using robotic surgery, showing it can be a safe and effective option.

Contribution

This case demonstrates the feasibility of robotic-assisted repair for Morgagni hernias, offering a novel surgical approach.

Findings

Robotic-assisted repair was successfully used for a Morgagni hernia involving the transverse colon.

The procedure included plication, approximation, and mesh placement with positive patient outcomes.

Robotic surgery may offer advantages in managing Morgagni hernias compared to traditional methods.

Abstract

Morgagni hernias are rare congenital diaphragmatic defects. While often asymptomatic, they can present with nonspecific abdominal or respiratory symptoms, leading to incidental diagnosis through imaging. Surgical repair is the standard treatment to prevent complications such as bowel incarceration or strangulation, though the optimal approach remains a matter of debate. We present the case of a 77-year-old female who was found to have a Morgagni hernia involving the transverse colon. She underwent successful robotic-assisted repair with plication, approximation, and mesh placement. This report highlights the feasibility and safety of robotic-assisted repair for a Morgagni hernia, emphasizing its role in optimizing patient outcomes. As surgical techniques continue to evolve, further studies comparing long-term outcomes of robotic, laparoscopic, and open approaches will help refine best practices for managing this rare congenital defect.

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