FIELD: medicine.
SUBSTANCE: laparoscopic gastrofundoplication is performed. The gastric fundus is mobilised. A tunnel is formed behind the oesophagus. The gastric fundus around the oesophagus is closed with two lines of interrupted sutures in the form of a fundoplication cuff. The first line of sutures is applied with underruning the gastric walls through all the layers with involving the muscular layer of the oesophageal wall. The second line of sutures is applied with involving the seromuscular layer only of the gastric walls immersing the first line of sutures.
EFFECT: reducing a rate of migration, opening and rupture of the fundoplication cuff by its reliable fixation within the oesophagus.
5 dwg, 1 ex
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