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Open Versus Minimally Invasive Morgagni Hernia Repair in Pediatric Surgery: A Review Publisher Pubmed



Safari D1 ; Mohajer Z1, 2 ; Ghobadinezhad F3 ; Ashjaei B4
Authors
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Authors Affiliations
  1. 1. Network of Interdisciplinarity in Neonates and Infants (NINI), Universal Scientific Education and Research Network (USERN), Tehran, Iran
  2. 2. USERN Office, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. USERN Office, Kermanshah University of Medical Sciences, Kermanshah, Iran
  4. 4. Department of Pediatric Surgery, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Laparoendoscopic and Advanced Surgical Techniques Published:2025


Abstract

Background: Morgagni hernia (MH), a rare type of congenital diaphragmatic hernia, does not have an established protocol for surgical repair. Materials and Methods: A MEDLINE search with terms related to various surgical approaches to repair MH in children was conducted. Articles comprising robotic-assisted surgery, laparoscopy, laparotomy, thoracoscopy, and thoracotomy over the last 20 years were assessed. Results: This narrative review provides an overview of MH in the pediatric population, covering the epidemiology, diagnosis, and management of this rare diaphragmatic hernia. We discuss various surgical techniques, including open and minimally invasive approaches, and compare their advantages and limitations in childhood MH repair. In addition, we address arguments for and against controversial topics such as hernia sac excision and patch reinforcement. Conclusions: Regarding MH in children, transabdominal repair is superior to transthoracic due to improved visualization of bilateral defects and easier reduction of the hernia contents. Laparoscopy has been reported as a popular approach. Single-site laparoscopy has gained attention due to better outcomes than standard three-port laparoscopy. Considering a limited number of children in the literature who underwent robotic MH repair, perioperative complications were reported to be minor. Copyright 2025, Mary Ann Liebert, Inc., publishers.