Belsey Mark IV Fundoplication
Belsey Mark IV fundoplication in a 40-yo male ex-smoker's case (Images 1-6) :
TWO ROWS of surtures: Each Row consists of four (No 3/0 Prolene, PTFE-pledgetted) sutures:
—1st Row: Fundus (of stomach) - Oesophagus - Fundus by 270 degrees (Imag. 3-4).
—2nd Row: Similar + fixation of each suture under the diaphragm by sewing (Im. 5-6).
Finally, two No 1 Ticron sutures to the right crus of the hiatus, to reduce the oesophageal foramen.
IMAGES 7-8 : The final intraop result in another case (of a 37-yo non-smoker male).
TWO ROWS of surtures: Each Row consists of four (No 3/0 Prolene, PTFE-pledgetted) sutures:
—1st Row: Fundus (of stomach) - Oesophagus - Fundus by 270 degrees (Imag. 3-4).
—2nd Row: Similar + fixation of each suture under the diaphragm by sewing (Im. 5-6).
Finally, two No 1 Ticron sutures to the right crus of the hiatus, to reduce the oesophageal foramen.
IMAGES 7-8 : The final intraop result in another case (of a 37-yo non-smoker male).