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Sliding Hiatal Hernia

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Sliding Hiatal Hernia The patient has also a complex hernia

Paraesophageal Hiatal Hernia - 1/2

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Hiatal hernias may be classified into one of four types. Type I (sliding hiatal hernia) in which there is a migration of the esophago-gastric junction above the diaphragm into the thorax is the most...

Paraesophageal Hiatal Hernia - 1/2

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This is the case of a 63 year-old woman that has been suffering of long-standing reflux disease.

Retrograde Gastroplicature - Final Effect

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The gastroplicature was finished. (Retrograde Gastroplicature) A Trans-Gastric-Trasfistula post Gastrostomy, Retrograde suturing of the cardias. The flexible Ti-Knot Device has been placed the titanium...

Ti-Knot Device - Passage Through Overtube

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The flexible Ti-Knot Device is being passed to the over-tube to will perform the knot.

Ti-Knot Device - Preparation

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Flexible Ti-Knot Device. The flexible Ti-Knot Device will be use to place the titanium clip throughout 2 treads to perform the knot.

Withdrawal Of The Needle Through Mouth- Gastroplicature

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Withdrawal of the semicircular surgical needle throughout the mouth. Due to the protection of the over-tube there is no danger of injuries that could be caused by the needle.

Withdrawal Of The Needle Through Overtube- Gastroplicature

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The semicircular needle is withdrawn throughout the over-tube.

Retrograde Gastroplicature - Suturing - 3/3

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In this video image it is observed the joint of two tissues, which will be knotted.

Retrograde Gastroplicature - Suturing - 2/3

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And by the same maneuver we finished the gastroplicature.

Retrograde Gastroplicature - Suturing - 1/3

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We proceeded to perform the stitches and our new technique. And with the mouth-esophagus-stomach endoscopy in retroflexion the procedure is observed.

Introduction Of The Needle Holder Into The Gastrostomy...

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The neddle holder is introduced throughout the fistula.

Modified Needle Holder For Gastroplicature -...

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A modified laparoscopic needle holder. In the working table a needle holder is observed which previous was enlarged from 30 cm to 70 cm. We used this modified laparoscopic needle holder to perform...

Modified Needle Holder For Gastroplicature -...

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A modified laparoscopic needle holder is observed. Due to doubles between the over-tube and the injuries it was necessary to replace the malleable instrument by the needle holder which has better...

Passage Of The Needle With Thread Through The...

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The malleable instrument that it contains a magnet it helps the passage of the semicircular surgical needle through the over-tube.

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