Minimally invasive Morgagni-Larrey hernia repair in children - A new and simple trick in suturing technique

Background: Literature is littered with descriptions of the minimally invasive repair of Morgagni-Larrey hernias in children. However, there are few reports about the diaphragmatic defect suture. The aim of this study is to describe a simplified trick to perform a simple and safe suturing technique. Methods: 2 children with left Morgagni-Larrey hernia underwent primary laparoscopic repair. The closure of diaphragmatic defect was performed by several simple interrupted sutures. An i.v. needle cannula was adopted like a track for returning back out of the suture, though the anterior abdominal wall at 3 mm distance from the site where the stitch is placed according to a U configuration. Results: No cases required open conversion. No complications and hernia recurrences were observed. Conclusions: Our suturing technique simplifies the surgical gesture, improves operative time and assure a safe, effective and nice cosmetic result. Furthermore, it is easily reproducible by every surgeons and it may be also used in similar operations.