Morgagni-Larrey hernia repair by full thickness anterior abdominal wall fixation with extracorporeal knots: A case report

BACKGROUND: The Morgagni Larrey hernia (HML) represents a rare pathology, only 3% to 5% of all diaphragmatic hernias, being significantly associated with other congenital anomalies. The repair of the HML with the involvement of the total thickness of the anterior abdominal wall with extracorporeal U-shaped points under direct vision fixed to subcutaneous tissue represents an option accessible to the trained surgeon that allows maximum repair force and adequate control during the placement of stitches. This technique has also been shown to be well tolerated by the patient with minimum analgesia requirements after the first 24 hours with good recovery and short in-hospital stay. CLINICAL CASE: We present a patient operated with this technique in a specialty hospital.