Figure 8 - Toupet repair.
From the following article
Surgical therapy for gastroesophageal reflux disease
Renee C. Minjarez and Blair A. Jobe
GI Motility online (2006)
doi:10.1038/gimo56
In the Toupet repair, the fundus is wrapped 270 degrees around the distal esophagus. Securing the fundoplication entails suturing the fundus on either side of the esophagus. Identification of the anterior vagal branch helps prevent incorporation into a suture. Suturing the lateral aspects of the wrap to the crural edges stabilizes the repair. (Source: Peters, JH, DeMeester, T (eds). Minimally Invasive Surgery of the Foregut. St Louis, MO: Quality Medical Publishing; 1994, with permission)
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