Rafael Luengas, MD1, Gerardo Davalos, MD2, Ramon Diaz, MD2, Daniel A Guerron, MD2. 1Hospital de La Florida – Chile, 2Duke University
The main procedures performed in bariatric surgery are the bypass, sleeve and the duodenal switch. The presence of Hiatal hernia during the preoperative patient assessment can change our decision when it comes to choosing the appropriate operation approach. We present a case in which the presence of a hiatal hernia and GERD who underwent a hiatal hernia repair plus a gastric bypass.
In hiatal hernia repair, proper exposure of the hiatus is essential. The most commonly used device for this purpose is the Nathanson which utilizes a dedicate port, however, newly developed magnetic retractors present an alternative. In this video we display the use of a magnetic retractor used to retract the liver during a hiatal hernia + gastric bypass.
The magnetic retractor provided a safe and feasible alternative for liver retraction and hiatal exposure during this procedure without the need for additional abdominal port incisions, which could potentially translate in decreased patient morbidity and increased cosmetic results.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95488
Program Number: V280
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop