The Repair of Hiatus Hernia of the Diaphragm by the Supradiaphragmatic Approach

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Abstract
THE use of the supradiaphragmatic approach in the treatment of esophageal hiatus hernia converts what, in the majority of cases, would be a difficult and formidable procedure into one that can be accomplished with ease and simplicity. It eliminates all the difficulties of technic experienced when the operation is done from below the diaphragm. Handling of any of the abdominal viscera except those within the hernia sac is avoided; the exposure to the operative field is wide and direct; the freeing of the sac is readily accomplished; and structures that are to be sutured are easily seen and dealt with. . . .

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