Original mesh suture technique seems to be safe and effective in the closure of large hiatal defects. A laparoscopic fundoplication is the gold standard for the surgical treatment of gastroesophageal reflux disease (GERD).
Indicating time frames in minutes and seconds:
01:07 The gastrohepatic ligament is divided
01:22 The right crus is separated from the right side of the esophagus
01:43 Hernia sac is dissected
02:05 The fundus of the stomach is mobilized
02:14 The left crus of the diaphragm is dissected downward toward the junction with the right crus.
02:35 The posterior vagus nerve is identified
02:54 Esophagus is mobilized circularly in the lower mediastinum to about 7-8 cm above the level of the diaphragm
03:11 The Mercilen (MercilenTM) mesh suture placed until have closed the crura
04:08 Three stitches are placed between the fundus of the stomach and the esophagus

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