Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Surgical Endoscopy
Erschienen in: Surgical Endoscopy 6/2008

01.06.2008 | Review

Presentation and management of Morgagni hernias in adults: a review of 298 cases

verfasst von: John D. Horton, Luke J. Hofmann, Stephen P. Hetz

Erschienen in: Surgical Endoscopy | Ausgabe 6/2008

Einloggen, um Zugang zu erhalten

Abstract

Background

Morgagni hernias are a very rare form of diaphragmatic hernias. No robust studies have been performed to show the true natural history of this disease process. This study aimed to summarize clinically relevant data with respect to Morgagni hernias in adults. These data should help surgeons workup, diagnose, and treat Morgagni hernias in adult patients.

Methods

A literature search was performed using PubMed, Google scholar, and the following key words: Morgagni, Larrey, retrosternal, retrocostoxiphal, retrochondrosternal, parasternal, substernal, anterior diaphragmatic, and subcostosternal. All case reports and series after 1951 that pertained to adults were included in the review. The following data points were queried: age, sex, presentation, studies used during workup, laterality, surgical approach, hernia sac management, specific laparoscopic techniques, and follow-up evaluation.

Results

These criteria were met by 135 articles representing 298 patients. Based on the data provided, several conclusions regarding this disease process can be drawn. Most patients (72%) present with symptoms related to their hernia. Pulmonary complaints are the most common symptoms (36%). Men present earlier in life than women. Thoracotomy is the most widely used surgical approach (49%). However, laparoscopic repair has gained popularity since its first report in 1992. Laparoscopic surgeons usually repair the defect with mesh (64%) and do not remove the hernia sac (69%). Laparoscopic repair can be performed with a low complication rate (5%) and a short hospital stay (3 days). Outcomes of other surgical approaches also are reported.

Conclusions

Using modern surgical techniques including laparoscopy, repair of Morgagni hernia can be performed safely with a short hospital stay and with little morbidity or mortality.
Literatur
1.
Harrington SW (1951) Clinical manifestations and surgical treatment of congenital types of diaphragmatic hernia. Rev Gastroenterol 18:243–256PubMed
2.
Ackroyd R, Watson DI (2000) Laparoscopic repair of a hernia of Morgagni using a suture technique. J R Coll Surg Edinb 45:400–402PubMed
3.
Catalona WJ, Crowder WL, Chretien PB (1972) Occurrence of hernia of Morgagni with filial cervical lung hernia: a hereditary defect of the cervical mesenchyme?. Chest 62:340–342PubMedCrossRef
4.
Lev-Chelouche D, Ravid A, Michowitz M, Klausner JM, Kluger Y (1999) Morgagni hernia: unique presentations in elderly patients. J Clin Gastroenterol 28:81–82PubMedCrossRef
5.
Eglinton T, Coulter GN, Bagshaw P, Cross L (2006) Diaphragmatic hernias complicating pregnancy. ANZ J Surg 76:553–557PubMedCrossRef
6.
Akamine S, Kawahara K, Nakamura A et al (1995) Successful utilization of a video-assisted thoracic approach to repair Morgagni’s hernia: report of a case. Surg Today 25:654–656PubMedCrossRef
7.
Hussong RL Jr, Landreneau RJ, Cole FH Jr (1997) Diagnosis and repair of a Morgagni hernia with video-assisted thoracic surgery. Ann Thorac Surg 63:1474–1475PubMedCrossRef
8.
Hoffmann KF, Chilko J (1954) Subcostosternal diaphragmatic hernia. Ann Intern Med 41:616–629PubMed
9.
Comer TP, Schmalhorst WR, Arbegast NR (1973) Foramen of Morgagni hernia diagnosed by liver scan. Chest 63:1036–1038PubMedCrossRef
10.
Thoman DS, Hui T, Phillips EH (2002) Laparoscopic diaphragmatic hernia repair. Surg Endosc 16:1345–1349PubMedCrossRef
11.
Hajdu NH, Sidhva JN (1955) Parasternal diaphragmatic hernia through the foramen of Morgagni; with report of a case. Br J Radiol 28:355–357PubMed
12.
Swain JM, Klaus A, Achem SR, Hinder RA (2001) Congenital diaphragmatic hernia in adults. Semin Laparosc Surg 8:246–255PubMedCrossRef
13.
Comer TP, Clagett OT (1966) Surgical treatment of hernia of the foramen of Morgagni. J Thorac Cardiovasc Surg 52:461–468PubMed
14.
Aabye R (1954) Diaphragmatic hernia: right-sided sub-costosternal type in a patient with large gibbus. Acta Chir Scand 108:6–12
15.
Lund RR, Crisler EC, Sammons BP, Gartenlaub C (1958) Simultaneous occurrence of subcostosternal (Morgagni) hernia and hiatus hernia: report of a case. Radiology 70:561–563PubMed
16.
Ngaage DL, Young RA, Cowen ME (2001) An unusual combination of diaphragmatic hernias in a patient presenting with the clinical features of restrictive pulmonary disease: report of a case. Surg Today 31:1079–1081PubMedCrossRef
17.
Eroglu A, Kurkcuoglu IC, Karaoglanoglu N, Yilmaz O (2003) Combination of paraesophageal hernia and Morgagni hernia in an old patient. Dis Esophagus 16:151–153PubMedCrossRef
18.
Cokmez A, Durak E (2003) Laparoscopic repair of Morgagni hernia and paraesophageal hernia on the same patient. Surg Endosc 17:660PubMed
19.
Chang TH (2004) Laparoscopic treatment of Morgagni-Larrey hernia. West Va Med J 100:14–17
20.
Wickstrom P, Helseth HK (1973) Foramen of Morgagni hernia. Minn Med 56:671–673PubMed
21.
Shackelford RT, Hunt EO Jr (1971) Hernia of Morgagni: concurrent presence of peritoneal and pleural sacs through same diaphragmatic defect. South Med J 64:634–636PubMed
22.
Dawson RE, Jansing CW (1977) Case report: foramen of Morgagni hernias. J Ky Med Assoc 75:325–327PubMed
23.
Tazuke Y, Kawahara H, Soh H et al (2000) Congenital diaphragmatic hernia in identical twins. Pediatr Surg Int 16:512–514PubMedCrossRef
24.
Angrisani L, Lorenzo M, Santoro T, Sodano A, Tesauro B (2000) Hernia of foramen of Morgagni in adult: case report of laparoscopic repair. JSLS 4:177–181PubMed
25.
Nguyen T, Eubanks PJ, Nguyen D, Klein SR (1998) The laparoscopic approach for repair of Morgagni hernias. JSLS 2:85–88PubMed
26.
Nursal TZ, Atli M, Kaynaroglu V (2000) Morgagni hernia in a patient with Morquio syndrome. Hernia 4:37–39CrossRef
27.
Moss AJ, Harris DJ (1969) Congenital herniation of the large bowel into the pericardial cavity: survival into adulthood despite a generalized connective tissue disorder. Dis Chest 55:301–305PubMedCrossRef
28.
Chitwood WR Jr, Barnes RL, Postlethwait RW (1976) The retrosternal foramen of Morgagni: massive small bowel herniation. N C Med J 37:658–662PubMed
29.
Mouroux J, Venissac N, Alifano M, Padovani B (2003) Morgagni hernia and thoracic deformities. Thorac Cardiovasc Surg 51:44–45PubMedCrossRef
30.
Barut I, Tarhan OR, Cerci C, Akdeniz Y, Bulbul M (2005) Intestinal obstruction caused by a strangulated Morgagni hernia in an adult patient. J Thorac Imaging 20:220–222PubMedCrossRef
31.
32.
Khalid MM (2004) Morgagni’s hernia. J Coll Physicians Surg Pak 14:43–44PubMed
33.
34.
Mullins ME, Stein J, Saini SS, Mueller PR (2001) Prevalence of incidental Bochdalek’s hernia in a large adult population. AJR Am J Roentgenol 177:363–366PubMed
35.
Saltzstein HC, Linkner LM, Scheinberg SR (1951) Subcostosternal (Morgagni) diaphragmatic hernia: report of a case of hernia containing stomach, transverse colon, and omentum, with review of the literature. Arch Surg 63:750–765
36.
de Kort LM, Bax KM (1996) Prosthetic patches used to close congenital diaphragmatic defects behave well: a long-term follow-up study. Eur J Pediatr Surg 6:136–138PubMed
37.
Polk D, Madden RL, Lipkowitz GS et al (1996) Use of computerized tomography in the evaluation of a CAPD patient with a foramen of Morgagni hernia: a case report. Perit Dial Int 16:318–320PubMed
38.
Ramos JM, Burke DA, Veitch PS (1982) Hernia of Morgagni in patients on continuous ambulatory peritoneal dialysis. Lancet 1:161–162PubMedCrossRef
39.
Bhasin DK, Nagi B, Gupta NM, Singh K (1989) Chronic intermittent gastric volvulus within the foramen of Morgagni. Am J Gastroenterol 84:1106–1108PubMed
40.
41.
Eren S, Gumus H, Okur A (2003) A rare cause of intestinal obstruction in the adult: Morgagni’s hernia. Hernia 7:97–99PubMedCrossRef
42.
Ninos A, Pierrakakis S, Stavrianos V et al (2006) Bilateral congenital anterior diaphragmatic hernia: a case report. Hernia 10:525–527PubMedCrossRef
43.
Slaetis P (1963) Herniation through the foramen of Morgagni: clinical observations in 17 operatively treated cases. Ann Chir Gynaecol Fenniae 52:477–486
44.
Sirmali M, Turut H, Gezer S et al (2005) Clinical and radiologic evaluation of foramen of Morgagni hernias and the transthoracic approach. World J Surg 29:1520–1524PubMedCrossRef
45.
Craighead CC, Strug LH (1958) Diaphragmatic deficiency in the retrocostoxiphoid area. Surgery 44:1062–1069PubMed
46.
Wolloch Y, Grunebaum M, Glanz I, Dintsman M (1974) Symptomatic retrosternal (Morgagni) hernia. Am J Surg 127:601–605PubMedCrossRef
47.
Martins M, Kemler RL, Russell JC, Strauch GO (1987) Diaphragmatic hernias of Morgagni. Conn Med 51:282–287PubMed
48.
Machtelinckx C, De Man R, De Coster M, Ghillebert G, Provoost V (2001) Acute torsion and necrosis of the greater omentum herniated into a foramen of Morgagni. Abdom Imaging 26:83–85PubMedCrossRef
49.
Sutro WH, King SJ (1987) Computed tomography of Morgagni hernia. N Y State J Med 87:520–521PubMed
50.
Bufkin WJ (2001) Chest discomfort and abnormal chest radiograph. Proc Baylor Univ 14:183–184
51.
Yadav RK, Sukhija S (2001) Morgagni hernia. Indian J Chest Dis Allied Sci 43:163–164PubMed
52.
Sarikaya B, Edguer T, Senocak E, Cila A (2006) Multidetector computed tomography findings of an adult patient with Morgagni hernia presenting with perforated appendicitis. Eur J Radiol Extra 58:31–33CrossRef
53.
Erdem LO, Erdem CZ, Comert M (2004) Intrapancreatic lipoma and Morgagni hernia: a previously unrecognized association. Dig Dis Sci 49:1962–1965PubMedCrossRef
54.
Yamashita K, Tsunoda T (2004) Three-dimensional computer images of Morgagni hernia. Am J Surg 187:109–110PubMedCrossRef
55.
Collie DA, Turnbull CM, Shaw TR, Price WH (1996) Case report: MRI appearances of left-sided Morgagni hernia containing liver. Br J Radiol 69:278–280PubMed
56.
Nishimura RA, Tajik AJ, Schattenberg TT, Seward JB (1985) Diaphragmatic hernia mimicking an atrial mass: a two-dimensional echocardiographic pitfall. J Am Coll Cardiol 5:992–995PubMedCrossRef
57.
Sajeev CG, Francis J, Roy TN, Fassaludeen M, Venugopal K (2003) Morgagni hernia in adult presenting as cardiomegaly. J Assoc Physicians India 51:85–86PubMed
58.
Pfannschmidt J, Hoffmann H, Dienemann H (2004) Morgagni hernia in adults: results in 7 patients. Scand J Surg 93:77–81PubMed
59.
Rowles DF, Crenshaw GL (1953) Diaphragmatic herniation through the space of Morgagni. California Med 78:461–464PubMed
60.
Dalvi AN, Rege SA, Ravikiran CS, Thapar BV, Deshpande AA (2001) Laparoscopic repair of Morgagni hernia in adult. Indian J Gastroenterol 20:70PubMed
61.
Meredith K, Allen J, Richardson JD, Bergamini TM (2000) Foramen of Morgagni hernia: surgical consideration. J Ky Med Assoc 98:286–288PubMed
62.
White DC, McMahon R, Wright T, Eubanks WS (2002) Laparoscopic repair of a Morgagni hernia presenting with syncope in an 85-year-old woman: case report and update of the literature. J Laparoendosc Adv Surg Tech 12:161–165CrossRef
63.
Minneci PC, Deans KJ, Kim P, Mathisen DJ (2004) Foramen of Morgagni hernia: changes in diagnosis and treatment. Ann Thorac Surg 77:1956–1959PubMedCrossRef
64.
65.
Gilkeson RC, Basile V, Sands MJ, Hsu JT (1997) Chest case of the day: Morgagni’s hernia. AJR Am J Roentgenol 169:266, 268–270PubMed
66.
Missen AJ (1973) Foramen of Morgagni hernia. Proc R Soc Med 66:654–656PubMed
67.
Rennell CL (1973) Foramen of Morgagni hernia with volvulus of the stomach. Am J Roentgenol Radium Ther Nuclear Med 117:248–250
68.
Settembre A, Cuccurullo D, Pisaniello D et al (2003) Laparoscopic repair of congenital diaphragmatic hernia with prosthesis: a case report. Hernia 7:52–54PubMed
69.
Mannix H Jr, Diethelm AG, Pitman JM Jr (1966) Gastric volvulus within hernia of foramen of Morgagni: cause of intestinal obstruction. NY State J Med 66:521–524
70.
Caprotti R, Mussi C, Scaini A, Angelini C, Romano F (2005) Laparoscopic repair of a Morgagni-Larrey hernia. Int Surg 90:175–178PubMed
71.
Jemerin EE (1963) Diaphragmatic hernia through the foramen of Morgagni. J Mt Sinai Hosp N Y 30:415–426PubMed
72.
Ramachandran CS, Arora V (1999) Laparoscopic transabdominal repair of hernia of Morgagni-Larrey. Surg Laparosc Endosc Percutan Tech 9:358–361PubMedCrossRef
73.
Smith J, Ghani A (1995) Morgagni hernia: incidental repair during laparoscopic cholecystectomy. J Laparoendosc Surg 5:123–125PubMed
74.
Huang MW, Young JN (2005) Massive recurrent anterior diaphragmatic hernia, coronary artery disease, and valvular heart disease. Ann Thorac Surg 79:1417–1419PubMedCrossRef
75.
Boyd DP, Wooldridge BF (1957) Diaphragmatic hernia through the foramen of Morgagni. Surg Gynecol Obstet 104:727–732PubMed
76.
Filipi CJ, Marsh RE, Dickason TJ, Gardner GC (2000) Laparoscopic repair of a Morgagni hernia. Surg Endosc 14:966–967PubMed
77.
Kurzel RB, Naunheim KS, Schwartz RA (1988) Repair of symptomatic diaphragmatic hernia during pregnancy. Obstet Gynecol 71:869–871PubMed
78.
Loong TP, Kocher HM (2005) Clinical presentation and operative repair of hernia of Morgagni. Postgrad Med J 81:41–44PubMedCrossRef
79.
Contini S, Dalla Valle R, Bonati L, Zinicola R (1999) Laparoscopic repair of a Morgagni hernia: report of a case and review of the literature. J Laparoendosc Adv Surg Tech 9:93–99CrossRef
80.
Kuster GG, Kline LE, Garzo G (1992) Diaphragmatic hernia through the foramen of Morgagni: laparoscopic repair case report. J Laparoendosc Surg 2:93–100PubMed
81.
Huntington TR (1996) Laparoscopic transabdominal preperitoneal repair of a hernia of Morgagni. J Laparoendosc Surg 6:131–133PubMed
82.
Pokorny WJ, McGill CW, Harberg FJ (1984) Morgagni hernias during infancy: presentation and associated anomalies. J Pediatr Surg 19:394–397PubMedCrossRef
83.
Vanclooster P, Lefevre A, Nijs S, de Gheldere C (1997) Laparoscopic repair of a Morgagni hernia. Acta Chir Belg 97:84–85PubMed
84.
Greca G, Fisichella P, Greco L et al (2001) A new simple laparoscopic-extracorporeal technique for the repair of a Morgagni diaphragmatic hernia. Surg Endosc 15:99PubMed
85.
Rau HG, Schardey HM, Lange V (1994) Laparoscopic repair of a Morgagni hernia. Surg Endosc 8:1439–1442PubMedCrossRef
86.
Gray FJ (1981) Strangulated hernia of the foramen of Morgagni: introducing a principle for the reduction of obstructed intraabdominal hernias. Aust N Z J Surg 51:314–317PubMedCrossRef
87.
Rossi G, Weiss M (1967) Herniation and strangulated incarceration of small intestines in the foramen of Morgagni. J Mt Sinai Hosp N Y 34:38–39PubMed
88.
Tong RS, Jacobs J, McLaughlin S (2006) Laparoscopic repair of Morgagni diaphragmatic hernia. Surg Pract 10:159–162CrossRef
89.
Marin-Blazquez AA, Candel MF, Parra PA et al (2004) Morgagni hernia: repair with a mesh using laparoscopic surgery. Hernia 8:70–72PubMedCrossRef
90.
Ipek T, Altinli E, Yuceyar S et al (2002) Laparoscopic repair of a Morgagni-Larrey hernia: report of three cases. Surg Today 32:902–905PubMedCrossRef
91.
Percivale A, Stella M, Durante V et al (2005) Laparoscopic treatment of Morgagni-Larrey hernia: technical details and report of a series. J Laparoendosc Adv Surg Tech 15:303–307CrossRef
92.
Yavuz N, Yigitbasi R, Sunamak O et al (2006) Laparoscopic repair of Morgagni hernia. Surg Laparosc Endosc Percutan Tech 16:173–176PubMedCrossRef
93.
Bortul M, Calligaris L, Gheller P (1998) Laparoscopic repair of a Morgagni-Larrey hernia. J Laparoendosc Adv Surg Tech 8:309–313CrossRef
94.
Richardson WS, Bolton JS (2002) Laparoscopic repair of congenital diaphragmatic hernias. J Laparoendosc Adv Surg Tech 12:277–280CrossRef
95.
Del Castillo D, Sanchez J, Hernandez M et al (1998) Morgagni’s hernia resolved by laparoscopic surgery. J Laparoendosc Adv Surg Tech 8:105–108
96.
Orita M, Okino M, Yamashita K, Morita N, Esato K (1997) Laparoscopic repair of a diaphragmatic hernia through the foramen of Morgagni. Surg Endosc 11:668–670PubMedCrossRef
Metadaten
Titel
Presentation and management of Morgagni hernias in adults: a review of 298 cases
verfasst von
John D. Horton
Luke J. Hofmann
Stephen P. Hetz
Publikationsdatum
01.06.2008
Verlag
Springer-Verlag
Erschienen in
Surgical Endoscopy / Ausgabe 6/2008
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-008-9754-x

Weitere Artikel der Ausgabe 6/2008

Surgical Endoscopy 6/2008 Zur Ausgabe

OriginalPaper

Risk of pancreatitis following endoscopically placed large-bore plastic biliary stents with and without biliary sphincterotomy for management of postoperative bile leaks

OriginalPaper

Physiologic effects of pneumoperitoneum in adults with sickle cell disease undergoing laparoscopic cholecystectomy (A case control study)

OriginalPaper

Endoclipping of iatrogenic colonic perforation to avoid surgery

OriginalPaper

Liver resection with intraoperative and laparoscopic ultrasound: report of 32 cases

OriginalPaper

Endoscopic and symptomatic assessment of anastomotic strictures following esophagectomy and cervical esophagogastrostomy

OriginalPaper

Comparison of a supplemental wide field of view versus a single field of view with zoom on performance in minimally invasive surgery

Neu im Fachgebiet Chirurgie

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

23.04.2024 Ablationstherapie Nachrichten

Nach der Katheterablation von Vorhofflimmern kommt es bei etwa einem Drittel der Patienten zu Rezidiven, meist binnen eines Jahres. Wie sich spätere Rückfälle auf die Erfolgschancen einer erneuten Ablation auswirken, haben Schweizer Kardiologen erforscht.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Ureterstriktur: Innovative OP-Technik bewährt sich

19.04.2024 EAU 2024 Kongressbericht

Die Ureterstriktur ist eine relativ seltene Komplikation, trotzdem bedarf sie einer differenzierten Versorgung. In komplexen Fällen wird dies durch die roboterassistierte OP-Technik gewährleistet. Erste Resultate ermutigen.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.
Bildnachweise