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Case Reports
. 2023 Jul 21:10:1227567.
doi: 10.3389/fsurg.2023.1227567. eCollection 2023.

Case report: Laparoscopic nissen-sleeve gastrectomy in a young adult with incidental finding of Morgagni-Larrey hernia

Rossella Palma  1 , Francesco Angrisani  2 , Antonella Santonicola  3 , Paola Iovino  3 , Vittorio Maria Ormando  4 , Roberta Maselli  5   6 , Luigi Angrisani  7
Affiliations
Case Reports

Case report: Laparoscopic nissen-sleeve gastrectomy in a young adult with incidental finding of Morgagni-Larrey hernia

Rossella Palma et al. Front Surg. .

Abstract

Laparoscopic sleeve Gastrectomy (LSG) is the most performed bariatric procedure worldwide but it is associated with an increased incidence of de-novo or recurrent GERD. Recently a new technique consisting in LSG with associated fundoplication has been described. Morgagni-Larrey hernia is very rare and there is a lack of evidences on its correct surgical treatment. There are only rare cases of a MLH incidental diagnosis in patients submitted to bariatric surgery. We present our experience of Morgagni-Larrey Hernia (MLH) incidentally found intraoperatively in a patient with Gastroesophageal Reflux Disease (GERD) with Hiatal Hernia (HH) undergoing a bariatric surgical procedure.

Keywords: Morgagni-Larrey hernia; diaphragmatic hernia; hiatal hernia; obesity; sleeve gastrectomy.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Intraoperative finding of a Morgagni-Larrey hernia.
Figure 2
Figure 2
Nissen fundoplication with associated HHR. (A) Posterior cruroplasty by running barbed suture technique; (B) 360° antireflux valve.
See this image and copyright information in PMC

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