Cyanoacrylate for Safer Mesh Fixation During Laparoscopic Repair of Morgagni Hernia

Abstract

The surgical repair of all Morgagni hernias is recommended to avoid the risk of strangulation of hernia contents. Mesh augmentation repair can reduce the risk of recurrence, but severe injuries have been reported when tacks are used for mesh fixation to the diaphragm. Cyanoacrylate can provide reliable mesh fixation, and in addition, its application is easy and quick by either the transthoracic or laparoscopic approach. This report describes the main steps of laparoscopic mesh augmentation repair of a Morgagni hernia with a focus on atraumatic mesh fixation with cyanoacrylate, which should prevent the potential complications associated with the use of tacks or sutures.