International Journal of Surgery

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International Journal of Surgery Applying traction to fundoplication by means of a Penrose drain in gastro-oesophageal reflux surgery in difficult cases of hiatal hernia F.J. Pérez Lara International Journal of Surgery Volume 41, Pages 12-13 (May 2017) DOI: 10.1016/j.ijsu.2017.03.026 Copyright © 2017 IJS Publishing Group Ltd Terms and Conditions

Fig. 1 A Penrose drain is passed through the retro-oesophageal tunnel towards the gastric fundus area. International Journal of Surgery 2017 41, 12-13DOI: (10.1016/j.ijsu.2017.03.026) Copyright © 2017 IJS Publishing Group Ltd Terms and Conditions

Fig. 2 A stitch is used to join the part of the fundus which is considered to be most suitable for fundoplication to one end of the Penrose drain. International Journal of Surgery 2017 41, 12-13DOI: (10.1016/j.ijsu.2017.03.026) Copyright © 2017 IJS Publishing Group Ltd Terms and Conditions

Fig. 3 The fundus is drawn through the retro-oesophageal tunnel by pulling on the other end of the Penrose drain. International Journal of Surgery 2017 41, 12-13DOI: (10.1016/j.ijsu.2017.03.026) Copyright © 2017 IJS Publishing Group Ltd Terms and Conditions