A Case of Laparoscopic Repair for Larrey-hernia Causing Duodenal Obstruction

Ito Kondo, Yoshinobu Nishioka, Tadao Murayama, Naoaki Hoshino, Tihiro Ono and Hisatugu Nishimura

Department of Surgery, Soka Municipal Hospital

We report the case of a Morgagni-Larrey hernia, a rare diaphragmatic type that is often asymptomatic and usually detected incidentally in X-ray imaging. A76-year-old woman seen for vomiting was found in computed tomography (CT) to have a diaphragmatic hernia with an incarcerated stomach, duodenum, transverse colon, and fat tissue. Laparoscopic repair was attempted and laparoscopy showed it to be a Morgagni-Larrey hernia with a hiatus 5×8 cm. The defect was closed by direct sutures and covered with Composix mesh^® fixed in place using a hernia stapler. The outcome was satisfactory. The laparoscopic approach is minimally invasive in bedridden adults with liver cirrhosis.

Key words
Larrey hernia, laparoscopic surgery, Composix Mesh^®

Reprint requests
Ito Kondo Department of Surgery, Mishima Social Insurance Hospital
2276 Fujikubo, Yata, Mishima, 411-0801 JAPAN

Accepted
May 19, 2010

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