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Robotic Paraesophageal Hernia Repair with Magnetic Sphincter Augmentation Using the LINX Device

Jonathan A. Levy, MD
University of Michigan Health-Sparrow

1. Introduction

2. Placement of Ports

3. Robot Docking

4. Exposure

5. Hiatal Dissection and Reduction of Hernia

6. Dissection of Thoracic Esophagus

7. Reapproximation of the Hiatus

8. Preparation for LINX Device

  1. Retrovagal Window for LINX Device
  2. Check with Endoscope
  3. Sizing for LINX Device

9. LINX Device Placement

10. Final Check with Endoscope

11. Robot Undocking

12. Closure

13. Post-op Remarks