case_images: PMC11204979_01
case_images: A) preoperative chest radiograph: gastrointestinal gas is observed at the diaphragm (black arrow); B) preoperative computed tomography. Herniation of the stomach (black arrow) and colon (white arrow) is observed
case_images: PAMJ-47-150-g001.jpg
case_images: PMC11204979_01_PAMJ-47-150-g001.jpg
case_images: F1
case_images: Diagnosis: our findings revealed a Morgagni hernia, with the stomach and transverse colon herniated into the right chest cavity (Figure 1 A, B).
case_images: A) laparoscopic views of the defect (black arrow): the defect was 6 x 3 cm in size; B) schema of extra-abdominal suture (through the same skin incision 1 cm caudal to the previous fascial opening); C) laparoscopic views after primary closure, tension-free repair of the hernia defect is achieved
case_images: PAMJ-47-150-g002.jpg
case_images: PMC11204979_01_PAMJ-47-150-g002.jpg
case_images: F2
case_images: The hernia defect measured 6 x 3 cm (Figure 2A). Subsequently, the needle end was retrieved with Lapa-Her-Closure  through the same skin incision, positioned 1 cm caudal to the previous fascial opening, ensuring a secure tie to the fascia (Figure 2B). All eight sutures were placed; the tension was evenly distributed by gently pulling up the sutures, after which each suture was tied (Figure 2C), and the knots were placed in the fascia supra.
case_images: A) chest radiograph at 1-month follow-up examination (no recurrence is observed); B) computed tomography at 1-month follow-up examination (no recurrence is observed)
case_images: PAMJ-47-150-g003.jpg
case_images: PMC11204979_01_PAMJ-47-150-g003.jpg
case_images: F3