PMC10401034_01
Intraoperative finding of a Morgagni-Larrey hernia.
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PMC10401034_01_fsurg-10-1227567-g001.jpg
F1
During surgery a defect in the anterior, parasternal portion of the diaphragm was immediately recognized (Figure 1).
Nissen fundoplication with associated HHR. (A) Posterior cruroplasty by running barbed suture technique; (B) 360  antireflux valve.
fsurg-10-1227567-g002.jpg
PMC10401034_01_fsurg-10-1227567-g002.jpg
F2
The diaphragmatic hernia sac appeared free of content and the choice was to perform the planned bariatric procedure without repairing the defect (Figure 2).