{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:20Z","timestamp":1786649600370,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>While laparoscopic and robotic repair of diaphragmatic hernias has recently become commonplace, minimally invasive single-stage procedures combining diaphragmatic hernia repair with another procedure remain rare. Our patient is a 61-year-old male presenting with a left-sided inguinal bulge and later dyspnoea, found to have concomitant left inguinal hernia and Morgagni-type diaphragmatic hernia. The patient was taken to the operating room for simultaneous robotic repair of both hernias. The procedure was completed robotically using two different docking orientations with the same three 8-mm port sites. The inguinal hernia was repaired using a standard transabdominal preperitoneal approach, and the Morgagni hernia was repaired primarily and reinforced with porcine biologic mesh. The procedure was without complication and the patient\u2019s symptoms resolved. We infer from our experience that simultaneous robotic repair of multiple hernia types is feasible and may decrease patient anaesthesia episodes as well as surgeon fatigue associated with laparoscopic and open approaches.<\/jats:p>","DOI":"10.4103\/jmas.jmas_281_24","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T18:42:59Z","timestamp":1742841779000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Single-stage robot-assisted repair of symptomatic inguinal and Morgagni hernias in an adult male"],"prefix":"10.4103","author":[{"given":"Sydney C.","family":"Bertram","sequence":"first","affiliation":[{"name":"College of Medicine, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savannah H.","family":"Skidmore","sequence":"additional","affiliation":[{"name":"College of Medicine, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Akyeampong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike M.","family":"Mallah","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A.","family":"Fann","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"R1-20250324","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s13017-017-0134-5","article-title":"Emergency surgery due to diaphragmatic hernia: Case series and review","volume":"12","author":"Testini","year":"2017","journal-title":"World J Emerg Surg"},{"key":"R2-20250324","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1089\/lap.2017.0385","article-title":"Robotic-assisted simultaneous repair of paraesophageal hernia and morgagni hernia: Technical report","volume":"28","author":"Fu","year":"2018","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"R3-20250324","doi-asserted-by":"crossref","first-page":"e2481","DOI":"10.1002\/rcs.2481","article-title":"Synchronous robotic repair of anterior diaphragmatic (Morgagni) hernia and low anterior resection for rectal cancer","volume":"19","author":"Lambert","year":"2023","journal-title":"Int J Med Robot"},{"key":"R4-20250324","doi-asserted-by":"crossref","first-page":"415","DOI":"10.5090\/kjtcs.2012.45.6.415","article-title":"One-stage laparoscopic repair of morgagni and inguinal hernias in a two-month old male","volume":"45","author":"Bae","year":"2012","journal-title":"Korean J Thorac Cardiovasc Surg"},{"key":"R5-20250324","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1136\/oemed-2016-104160","article-title":"Inguinal hernia repair among men in relation to occupational mechanical exposures and lifestyle factors: A longitudinal study","volume":"74","author":"Vad","year":"2017","journal-title":"Occup Environ Med"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_281_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:52Z","timestamp":1786647352000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_281_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,24]]},"references-count":5,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_281_24","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,24]]},"assertion":[{"value":"2024-09-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}