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LIGAMENTUM TERES CARDIOPEXY FOR REFLUX AFTER SLEEVE GASTRECTOMY
Eduardo Vaca
*, Abdelkader Hawasli
Ascension St John Hospital, Detroit, MI
We present our technique for Ligamentum Teres Cardiopexy in patients with reflux after sleeve gastrectomy who are not ready to commit to gastric bypass. The case begins with exposure of the hiatus and complete mobilization of the esophagus. A hiatal hernia repair is performed by posterior cruroplasty. The falciform ligament is then separated from the abdominal wall and mobilized around the esophagus. The ligament is sutured to itself and to the esophagus to prevent migration. A piece of mesh is fashioned around the medial portion of the ligament and fixated to the right crus. Lastly, the fundus of the stomach is sutured to the left crus to recreate the angle of His.
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