WebJul 1, 2016 · The crural valve is of particular importance during periods of increased intraabdominal pressure as well as functioning as a physiologic one-way valve during alterations in pressure during a ... WebJul 13, 2024 · The crural valve is of particular importance during periods of increased intra-abdominal pressure as well as functioning as a physiologic one-way valve during alterations in pressure during a swallow as LES pressure decreases with esophageal ampulla filling in anticipation of bolus transit [ 10, 11, 12 ].
How to do laparoscopic fundoplication - World Laparoscopy Hospital
WebWrap of Fundus. The mobilization of stomach should be adequate to give a floppy fundus for plication otherwise patient may develop dysphagia. One stay suture may be applied to … WebSep 4, 2024 · The crura are thought to contribute to the anatomic anti-reflux mechanism, and even with intact anatomy there may be underlying pathology of the crura in reflux disease; therefore, we perform full dissection with crural plication, which may increase the efficacy and symptom reduction associated with the LINX procedure [ 9, 17 ]. firearms id card number
Characterization and management of paraesophageal hernias in …
WebNov 3, 2024 · Our novel direct crural approach facilitates surgical repair and provides better surgical field exposure and thus a better anatomical perspective. The technique can be … WebFor severe disruptions of deep crural structures, plication maneuvers to exclude a proximal crus may be necessary. Given the high likelihood of arterial injury with both blunt and penetrating disruption of the crura, arterial insufficiency and erectile dysfunction may occur regardless of techniques to repair the tunica albuginea. WebNov 1, 1999 · Crural plication of the esophagus during Nissen fundoplication reduces the occurrence of postoperative paraesophageal hernia, but also may result in significant morbidity. J Pediatr Surg 34:1610-1614. Copyright 1999 by W.B. Saunders Company. INDEX WORDS: Paraesophageal hernia, gastroesophageal reflux. firearms identification card application