Optimizing patient outcomes: Nursing care in giant Morgagni and umbilical hernia surgical repair: A nursing case study

Abstract

Giant Morgagni hernias are rare congenital diaphragmatic defects in adults, often discovered incidentally or during evaluation for non-specific symptoms. This case study presents a 75-year-old male with a giant Morgagni hernia and concurrent umbilical hernia, managed successfully through robotic-assisted surgical repair. The patient's complex medical history, including hypertension, diabetes, hypothyroidism, and past orthopedic surgeries, posed perioperative challenges. A multidisciplinary team approach was adopted for preoperative optimization. Nursing care was central to patient recovery, encompassing respiratory support, pain management, medication administration, early ambulation, wound care, and comprehensive discharge planning. This case highlights the vital role of evidence-based nursing interventions in enhancing surgical outcomes, particularly in elderly patients with comorbidities. Robotic surgery offered advantages of minimal invasiveness, reduced postoperative complications, and faster recovery. Integrating advanced technology with structured nursing care can significantly improve patient-centered outcomes in complex surgical scenarios.