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. Author manuscript; available in PMC: 2021 Dec 21.
Published in final edited form as: Thorac Surg Clin. 2019 Aug 30;29(4):369–377. doi: 10.1016/j.thorsurg.2019.06.001

Fig. 3.

Fig. 3.

The patient is in reverse Trendelenburg to use gravity in reducing the hernia’s content. The remaining herniated contents are reduced from the mediastinum in the intraabdominal cavity with the use of robotic and bedside assistant ports. (From Karush J, Sarkaria IS. Robotic-assisted giant paraesophageal hernia repair and Nissen fundoplication. Oper Tech Thorac Cardiovasc Surg. 2013;18(3):207; with permission.)