Laparoscopic Repair of Morgagni Hernia - Transfascial Suturing with Extracorporeal Knotting

Among the congenital diaphragmatic hernias, the Morgagni type lies in the anterior and medial aspect of the diaphragm, as a defect of fusion of the septum transversum. Even in asymptomatic cases a surgical repair is indicated because of potential complications. In this paper we report a 67 years old woman presented with an unclear symptomatology, but the CT scan shown a retrosternal diaphragmatic defect of 45 mm. The surgery performed was a laparoscopic repair with transfascial suturing with extracorporeal knotting. This report supports the laparoscopic repair of diaphragmatic defects and the particular technique presented is an easy and rapid procedure with excellent results.