{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:10:04Z","timestamp":1756318204115,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,1,13]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Morgagni hernia is a congenital diaphragmatic hernia. It is rare, usually asymptomatic, and most of the times incidentally discovered during adulthood. A 77-year-old female patient was incidentally diagnosed with Morgagni hernia. Meanwhile, because of abdominal pain she resorted to the emergency department. A CT scan was performed. A laparoscopic repair with extra-abdominal transfascial sutures was conducted. At 3-month follow-up, the patient is asymptomatic. Surgical repair of Morgagni hernia is always indicated because of the risk of strangulation of hernia contents. Minimal invasive surgery is the gold standard, and laparoscopy is the preferred approach. Morgagni hernia does not have an anterior rim, which makes it technically difficult to close the defect. Extra-abdominal transfascial technique was used to repair the defect, eliminating the need for intracorporeal sutures. For small defects, simple repair with non-absorbable sutures using extra-abdominal transfascial technique is easy and efficient.<\/jats:p>","DOI":"10.1136\/bcr-2018-227600","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T23:09:12Z","timestamp":1548889752000},"page":"e227600","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3541-9974","authenticated-orcid":false,"given":"Carlos","family":"Costa Almeida","sequence":"first","affiliation":[{"name":"Surgery C, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa Vieira","family":"Caro\u00e7o","sequence":"additional","affiliation":[{"name":"Surgery C, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oriana","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Surgery C, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"Infuli","sequence":"additional","affiliation":[{"name":"Surgery C, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,1,29]]},"reference":[{"key":"2025082710302686000_12.1.e227600.1","first-page":"754","article-title":"Laparoscopic repair of Morgagni hernia by artificial pericardium patch in an adult obese patient","volume":"7","author":"Li","year":"2015","journal-title":"J Thorac Dis"},{"key":"2025082710302686000_12.1.e227600.2","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1080\/00015458.2014.11680995","article-title":"Morgagni hernia: transabdominal or transthoracic approach?","volume":"114","author":"Aydin","year":"2014","journal-title":"Acta Chir Belg"},{"key":"2025082710302686000_12.1.e227600.3","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4103\/0972-9941.16532","article-title":"Laparoscopic repair of a Morgagni hernia","volume":"1","author":"Sherigar","year":"2005","journal-title":"J Minim Access Surg"},{"key":"2025082710302686000_12.1.e227600.4","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1089\/lps.1992.2.93","article-title":"Diaphragmatic hernia through the foramen of Morgagni: laparoscopic repair case report","volume":"2","author":"Kuster","year":"1992","journal-title":"J Laparoendosc Surg"},{"key":"2025082710302686000_12.1.e227600.5","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.ijscr.2016.09.010","article-title":"Laparoscopic extra-abdominal suturing technique for the repair of Larrey\u2019s diaphragmatic hernia using the port closure needle (Endo Close\u00ae): A case report","volume":"28","author":"Yamamoto","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2025082710302686000_12.1.e227600.6","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1177\/1553350618777053","article-title":"Morgagni hernia repair: a review","volume":"25","author":"Sanford","year":"2018","journal-title":"Surg Innov"},{"key":"2025082710302686000_12.1.e227600.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-9754-x"},{"key":"2025082710302686000_12.1.e227600.8","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1007\/s10029-018-1760-x","article-title":"Technical description of laparoscopic Morgagni hernia repair with primary closure and onlay composite mesh placement","volume":"22","author":"Ryan","year":"2018","journal-title":"Hernia"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227600","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:30:32Z","timestamp":1756315832000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227600"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,29]]},"published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1136\/bcr-2018-227600"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227600","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}