ROBOTIC-ASSISTED MORGAGNI HERNIA REPAIR WITH THORACOTOMY CONVERSION

A 69-year-old male presented with worsening abdominal pain and dyspnea on exertion. A CT scan revealed a Morgagni Hernia with extension of omental fat and transverse colon in the right pleural space. A robotic-assisted Morgagni hernia repair was planned. Due to the inability to fully reduce the hernia intra-abdominally, a conversion to a right thoracotomy was performed, and the repair with mesh was completed robotically. The patient was extubated on post-op day 1 (POD 1). On POD 2, he developed new onset A-fib and was converted back with metoprolol. On POD 5, the patient was transferred out of the ICU and weaned to nasal cannula. On POD 8, the patient was discharged home.