The image and the video are displaying both threads that were observed as four, This happened because they were tractioned outwards. In the image show two threads that previously were four, but after we applied outside traction and the cardia's tissue is suture and close to each other the next step is to tie between the sutures and we use other special forceps which we thread the needle in this pincer with a titanium's clip. And we gaze the other flexible forceps which has the threads attach with a titanium's clip.
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