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[Posterior cardiopexy technique].

C Gautier-Benoit1, P Y Bugnon, P Meigne

  • 1Service de Chirurgie Générale et Digestive, Centre Hospitalier, Lens.

Annales De Chirurgie
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

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Hill's posterior cardiopexy uses precise anatomical landmarks for hiatal closure. This surgical technique involves attaching peri-oesophageal tissue to the preaortic fascia for gastroesophageal reflux disease treatment.

Area of Science:

  • Gastroenterology and Surgical Procedures
  • Anatomical Surgical Techniques

Context:

  • Hill's posterior cardiopexy is a surgical procedure addressing gastroesophageal reflux disease (GERD).
  • The technique relies on specific anatomical identification and utilization of peri-oesophageal connective tissue.
  • Boutelier's description of peri-oesophageal connective tissue aligns with the anatomical structures targeted in Hill's method.

Purpose:

  • To describe the anatomical basis and procedural steps of Hill's posterior cardiopexy.
  • To detail the preferred surgical approach, including a left subcostal incision and fixation of the gastric fundus.
  • To highlight the omission of intraoperative manometry in their preferred technique.

Summary:

  • Hill's posterior cardiopexy involves closing the oesophageal hiatus and anchoring peri-oesophageal connective tissue (Hill's 'strips') to the preaortic fascia.

Related Experiment Videos

  • The authors advocate for a left subcostal incision, foregoing intraoperative manometry.
  • The procedure is completed by suturing the gastric fundus to the left of the oesophagus.

    • Impact:

    • Provides a clear, anatomically grounded description of a specific surgical technique for GERD.
    • Offers a preferred surgical methodology, potentially influencing surgical training and practice.
    • Contributes to the understanding of surgical anatomy relevant to anti-reflux procedures.