Introduction: The Morgagni hernia is one of the rarest hernias. With the overall incidence rate of 3% of all the diaphragmatic hernias. Laparoscopic repair has proved to be successful in the repair of this hernia. The minimal access surgery entails the benefits of the early ambulation and less necessity of analgesia with early postoperative recovery. The defect closure can be done with primary closure or using the prosthetic mesh which may be composite or polypropylene. The recurrence rate is not yet exactly known in cases of primary repair. Some studies favor the use of prosthetic mesh in all the cases of diaphragmatic mesh repair. Case Presentation: A 75 year old lady presented with complaints of abdominal pain for 4 to 5 months and vomiting for 1 month. With a history of intermittent fever. Physical examination revealed tenderness in the epigastrium, so she was considered the indication for the laparoscopic diaphragmatic hernia repair with prosthetic composite mesh placement. Conclusions:The Morgagni hernia repair with minimal access surgery may be a boon in the surgical field. This is a rare case of hernia in both the Morgagni's and Larrey's space. Which demonstrates all the benefits of minimal access surgery. Further randomized control trials may be needed to prove the exact advantages of minimal access surgery vs open surgery.

Background: Laparoscopic repair of duodenal perforation using the omental patch is one of the traditional techniques, which gives better postoperative recovery in patients with little chances of abdominal wound infection. This article is about the technique used for the laparoscopic repair of the duodenal perforation by Grahams patch with a twist in the conventional technique. Methods: In Hanging method of duodenal repair first, an intra-corporeal suture is taken at the upper margin of perforation and both end of the thread is taken out of anterior abdominal wall and duodenum is pulled up. Now under vision the next two parallel sutures are passed, thus avoiding the posterior duodenal wall incorporation. Finally omentum flap is used for the closure of perforation. Conclusions:The laparoscopic closure of the duodenal perforation by "Hanging Method" is an appropriate Laparoscopic technique, as "hanging" the anterior wall of duodenum gives us better vision of the posterior wall of duodenum, while taking the suture through anterior duodenal wall. Further since the gall bladder is retracted there is an easy available working space for intracorporeal suturing.