{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T03:13:46Z","timestamp":1788837226042,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T00:00:00Z","timestamp":1624320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T00:00:00Z","timestamp":1624320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T00:00:00Z","timestamp":1624320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Morgagni's hernia (MH) is defined by the protrusion of abdominal viscera through an anterior retrosternal diaphragmatic defect. The objective of this study was to systematically review current literature on MHs in adult population and assess their clinical characteristics and therapeutic approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PubMed and Cochrane bibliographical databases were searched (last search: 15<jats:sup>th<\/jats:sup> January 2021) for studies concerning MHs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Inclusion criteria were met by 189 studies that included 310 patients (61.0% females) with an age of 57.37\u2009\u00b1\u200918.41 (mean\u2009\u00b1\u2009SD) years. Pulmonary symptoms, abdominal pain, and nausea\u2010vomit were among the most frequent symptomatology. MHs were predominantly right\u2010sided (84.0%), with greater omentum (74.5%) and transverse colon (65.1%) being the most commonly herniated viscera. The majority of cases underwent an open procedure, while 42.3% of patients had a minimally invasive procedure. Abdominal approach was mostly preferred, while a thoracic one was chosen at 20.6% of cases and a thoracoabdominal at 3.2%. Thirty\u2010day postoperative complications were recorded at 29 patients and 30\u2010day mortality was 2.3%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>MH is a rare type of congenital diaphragmatic hernia which rarely manifests in adult population with atypical pulmonary and gastrointestinal symptoms. Surgery is the gold standard for their management. Open surgical approach is preferable in emergency cases, while laparoscopic surgery is favored in elective setting and is associated with shorter hospitalization. Further studies are crucial in order to elucidate etiology and optimal therapeutic approach.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-021-06203-3","type":"journal-article","created":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T18:05:59Z","timestamp":1624385159000},"page":"3065-3072","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Management of Morgagni's Hernia in the Adult Population: A Systematic Review of the Literature"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6743-8942","authenticated-orcid":false,"given":"Ioannis","family":"Katsaros","sequence":"first","affiliation":[{"name":"First Department of Surgery National and Kapodistrian University of Athens, Laikon General Hospital 17 Agiou Thoma Str., ZIP Code 11527 AthensAthens 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May 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 June 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ioannis Katsaros, Stamatia Katelani, Spyridon Giannopoulos, Nikolaos Machairas, Stylianos Kykalos, Nikolaos Koliakos, Emmanouil I. Kapetanakis, Anargyros Bakopoulos, Dimitrios Schizas declare no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Approval from the institutional review board was not required for this type of study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"This article is a systematic review, and it contains data collected through literature review. It does not include research directly involving human or animal participation.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and animal rights"}},{"value":"For this systematic review, informed consent of individual patients was not necessary.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}