Laparoscopic one-stage repair of concurrent Morgagni hernia and hiatus hernia: A case report and review of literature

Figure 2 Intraoperative laparoscopic findings and key operative steps. A: Laparoscopic exploration revealing a retrosternal right-sided diaphragmatic defect with the greater omentum as the hernia content; B: Primary suture closure of the Morgagni hernia defect; C: Fixation of the biological mesh for defect augmentation; D: Laparoscopic visualization of the sliding hiatus hernia; E: Complete reduction of the herniated gastric fundus into the abdominal cavity with full mobilization of the gastric fundus and distal esophagus; F: Primary suture reconstruction of the bilateral diaphragmatic crura; G: Augmentation repair of the esophageal hiatus with biological mesh; H: 270-degree “U” shaped Toupet fundoplication around the gastroesophageal junction.