PMC7235945_01
Illustration of operation technique.
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The patient was scheduled to have laparoscopic hiatal hernia repair plus combined partial posterior fundoplication and sleeve gastrectomy (Fig. 1).
Creation of partial posterior fundoplication.
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PMC7235945_01_gr2.jpg
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Then, gastric fundus was passed behind the esophagus and posterior fundoplication was performed (Fig. 2).
Sleeve gastrectomy was performed using Endo GIA  60 mm Tri-stapler.
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After the SG was completed (Fig. 3), the stapler line was inverted at the top with 3.0 V-Loc  and the next 3-4 cm sutures were passed through the esophagus and the left side of the fundoplication was created (Fig. 4).
Left side of the fundoplication was created with 3.0 V-Loc and than the entire stapler line was oversewed.
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PMC7235945_01_gr4.jpg
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After the SG was completed (Fig. 3), the stapler line was inverted at the top with 3.0 V-Loc  and the next 3-4 cm sutures were passed through the esophagus and the left side of the fundoplication was created (Fig. 4).