Laparoscopic Repair of Hiatal Hernia in the Presence of Aberrant Left Hepatic Artery Using Extracorporeal Sliding Arthroscopic Knots

Abstract

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Benefit of Laparoendoscopic Repair of Hiatal Hernia in the Presence of Aberrant Left Hepatic Artery

“…ESAKs can be precisely placed between the posterior aspect of the right crus and the IVC to evert the crura. Fanous et al 7 described the steps of formation, characteristics, and advantages of ESAK in LARS. This is the only suturing technique currently available that allows for cinching earlier crural stitches when subsequent stitches rendered them loose.…”

“…Figure 1 illustrates the steps to perform a modified Duncan Loop. 7 These knots do not unravel and require a knot pusher to be advanced. We precisely placed the knots between the posterior aspect of the right crus and the inferior vena cava (IVC) to evert the crura.…”

Diaphragmatic Crural Eversion: Mid-Term Data of a Novel Technique to Optimize Hiatoplasty during Laparoscopic Repair of Hiatal Hernia

“…They are formed extracorporeally and advanced with a single use of a knot pusher. 3 These are cinching knots and are similar to the knots used in the Endoloop ligature (Ethicon, Bridgewater, NJ). They are precisely placed between the posterolateral aspect of the right crus and the IVC.…”

Laparoscopic Repair of Large Hiatal Hernia and Chemical Fundophrenicopexy in a Frail Elderly Patient with Complex Medical History and Anatomical Challenges

“…This requires single insertion of a knot pusher. 3 The mesh was secured expediently with tacks and Tisseel. The remainder of this fibrin sealant is used in the next step.…”