Morgagni hernia repair in children over two decades: Institutional experience, systematic review, and meta-analysis of 296 patients
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · May 2018 · 1 min read
In brief
In brief
Twenty-year institutional review and meta-analysis of 296 pediatric Morgagni hernia repairs examining routine patch use to reduce recurrence. Study compares minimally invasive versus open approaches and primary versus patch repair techniques, analyzing recurrence rates and surgical complications across multiple cohorts.
Written by the GCMD Library team from the article.
Background/Purpose
Morgagni diaphragmatic hernia (MH) is rare. We report our experience based on routine patch use in MH repair to curb recurrence. A systematic review and meta-analysis were performed to study the recurrence and complications associated with minimally invasive surgery and the use of patch.
Methods
We retrospectively reviewed all cases of MH who underwent first-time repair in 2012-2017 in our institution to determine recurrence and complication rate. A MEDLINE search related to minimally invasive surgery (MIS) and patch repair of MH was conducted for systematic review. Eligible articles published from 1997-2017 with follow-up data available were included. Primary outcomes measured were recurrence and complication. Meta-analysis to compare open versus MIS and primary versus patch repair in the MIS group were performed in comparative cohorts. Continuous data were presented as median (range), and statistical significance was P