Abstract
Surgical control of pathological reflux entails:
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1.
Mobilisation and reduction of the associated hiatus hernia.
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2.
Repair of the hiatus by approximating the crura.
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3.
The performance of an anti-reflux procedure to buttress the weak lower oesophageal sphincter. For this final step the choice of procedure will vary. However, the initial steps are common to all.
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4.
If reduction of the hernia cannot be accomplished without tension on the repair, an oesophageal lengthening procedure should be interposed between steps 2 and 3.
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© 1987 Springer-Verlag Berlin Heidelberg
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Paneth, M., Goldstraw, P., Hyams, B. (1987). Hiatus Hernia. In: Fundamental Techniques in Pulmonary and Oesophageal Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-3122-9_15
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DOI: https://doi.org/10.1007/978-1-4471-3122-9_15
Publisher Name: Springer, London
Print ISBN: 978-1-4471-3124-3
Online ISBN: 978-1-4471-3122-9
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