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Surgical Case Reports
Fig. 6 | Surgical Case Reports

Fig. 6

From: Massive hiatal hernia involving prolapse of the entire stomach and pancreas resulting in pancreatitis and bile duct dilatation: a case report

Fig. 6

Surgical procedure. a Surgical view through the incision. The stomach, omentum, and the contents of the hernia were mobilized into the abdominal cavity manually. E: esophagus, HO: hernial orifice. b There was a strong adhesion between the tail of the pancreas and the right diaphragmatic crus, and the right pleura was damaged unexpectedly, which required closure and placement of a tracheal tube. DC: diaphragmatic crus, PA: pancreas. c The hiatal orifice was closed by silk thread sutures (primary repair), and mesh was fixed in front of the hernial orifice; E: esophagus. d After Toupet fundoplication, intraoperative endoscopy was performed to confirm cardiac stenosis

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