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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. 7.

Fig. 7.

(A) After adequate mobilization of both crus, a 54F bougie is inserted and visualized robotically. The right and left crus are approximated using large 0 nonabsorbable suture in simple interrupted fashion. (B) We typically place 2 to 3 sutures to close the posterior aspect and 1 to 2 sutures to close the anterior aspect of the hiatus. (From Karush J, Sarkaria IS. Robotic-assisted giant paraesophageal hernia repair and Nissen fundoplication. Oper Tech Thorac Cardiovasc Surg. 2013;18(3):211; with permission.)