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Reimagining surgical care for a healthier world

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Image Category: Fundamentals: Paraesophageal Hernia Repair

Paraesophageal hiatal hernia

Example of paraesophageal hernia on Endoscopy.This is the forward and reflexed view (Retrovision maneuver)in a patient demonstrating big paraesophageal hiatal hernia.

Posted on
02/06/2011
Image Categories
Fundamentals: Paraesophageal Hernia Repair
Image Tags
endoscopic view, paraesophageal hiatal hernia, retrovision maneuver

Mesentericoaxial rotation

Mesentericoaxial rotation.

Posted on
06/11/2010
Image Categories
Fundamentals: Paraesophageal Hernia Repair, SAGES Manual
Image Tags
mesentericoaxial rotation

T-fasterners for anterior gastropexy

Use of T-fasteners for anterior gastropexy.

Posted on
06/11/2010
Image Categories
Fundamentals: Paraesophageal Hernia Repair, SAGES Manual
Image Tags
anterior gastropexy, tfasterners

360 Degree wrap

A 2-cm, 360 degree wrap is created using three interrupted, nonabsorbable sutures with care to avoid the anterior vagus.

Posted on
06/11/2010
Image Categories
Fundamentals: Paraesophageal Hernia Repair, SAGES Manual
Image Tags
360 degree wrap, anterior vagus, sutures, wrap

Closure of the Crural Opening

The crural opening is closed with simple, interrupted nonabsorbable suture (0 Ethibond). For large defects, pledgets and/or bioprosthetic mesh may be used.

Posted on
06/11/2010
Image Categories
Fundamentals: Paraesophageal Hernia Repair, SAGES Manual
Image Tags
bioprosthetic mesh, crucal opening, pledgets, suture

Dissection posterior to the esophagus

Dissection posterior to the esophagus within the mediastinum.

Posted on
06/11/2010
Image Categories
Fundamentals: Paraesophageal Hernia Repair, SAGES Manual
Image Tags
dissection posterior, esophagus, mediastinum

Dissection of the Hernia

Dissection of the hernia sac away from the right crus.

Posted on
06/11/2010
Image Categories
Fundamentals: Paraesophageal Hernia Repair, SAGES Manual
Image Tags
hernia sac, right crus

Division of Gastrohepatic Ligament

Division of gastrohepatic ligament and exposure of the right crus of the diaphragm.

Posted on
06/11/2010
Image Categories
Fundamentals: Paraesophageal Hernia Repair, SAGES Manual
Image Tags
crus, diaphragm, gastrohepatic ligament

Organoaxial rotation

Organoaxial rotation.

Posted on
06/11/2010
Image Categories
Fundamentals: Paraesophageal Hernia Repair, SAGES Manual
Image Tags
organoaxial rotation

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