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Summary Background Achalasia is preferentially treated by esophageal myotomy. We present a potentially more secure technique of myotomy and fundoplication incorporating a three-stitch cardiopexy on the right of the esophagus and a left lateral fixation at the angle of His. Method The process of dissection, fixation and repair is described in detail using intraoperative photographs to illustrate...
Summary Background The physiology of dyspnoea associated with giant hiatus hernia has not been well understood; however, it is generally considered a contraindication for surgery. Methods Recent studies into mechanisms and prevalence of dyspnoea are discussed. Results Recent studies suggest that dyspnoea is present in 80% of cases of massive hiatus hernia. Cardiac compression from massive hiatus...
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