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A review article on gastric volvulus: A challenge to diagnosis and management
F. Rashid, T. Thangarajah, D. Mulvey, M. Larvin, S.Y. Iftikhar International Journal of Surgery Volume 8, Issue 1, Pages (January 2010) DOI: /j.ijsu Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 1 Chest radiograph. This demonstrates kyphoscoliosis and an anterior diaphragmatic hernia containing a partial gastric volvulus. International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 2 Abdominal x-ray showing gross scoliosis.
International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 3 Intraoperative images of the abdominal cavity showing an anterior diaphragmatic hernia. International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 4 Upper gastrointestinal contrast series employing barium contrast. (Complete herniation of the stomach into the thoracic cavity). International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 5 Partially twisted stomach being retrieved into the abdominal cavity. International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 6 Dissection around the right crus of the diaphragm. Liver was retracted using Nathanson's liver retractor. International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 7 Big hiatal hole visible.
International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 8 Peritoneal sac being divided anterior to the oesophagus.
International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 9 Grasper is being passed through the posterior oesophageal window. International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 10 Dissection of the left crus and the peritoneal sac.
International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 11 Lower oesophagus is now fully mobilized.
International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 12 Lower oesophagus is being slinged with the nylon tape.
International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 13 Gortex suture has been applied from left to right crus of the diaphragm behind the oesophagus. International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 14 Loose placement of interrupted Gortex suture to approximate crura anterior to the oesophagus and to create a secure base for placement of porcine mesh. International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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Fig. 15 Repair reinforced with porcine mesh using protac stapler.
International Journal of Surgery 2010 8, 18-24DOI: ( /j.ijsu ) Copyright © 2009 Surgical Associates Ltd Terms and Conditions
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