Journal of Metabolic and Bariatric Surgery

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Fig. 4.

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Fig. 4. PHASE 4: Last laparoscopic step: (A) 12-mm port SM introduction with correct FAP position. (B) Intra-abdominal G SM introduction with correct FAP position. (C) SM’s FAP (West AP) orienting towards West PAP in this case. (D) Superimposing and fixing FAP onto West PAP with the first absorbable strap (S). (E) Fixing the SM free end with 4 S, creating the first crown, thus preventing the mesh from slipping out of position; the SM is now anchored onto the abdominal wall, after which it no longer needs to be held. (F) SM unrolling, and cutting the second set of 2 stitches. (G) SM unrolling until it reaches the set of 3 stitches. (H) Cutting the set of 3 stitches. (I) SM unrolling again and fixing its South AP onto the South PAP. (J) Fixing the SM North AP onto the North PAP. (K) SM unrolling, and cutting the first set of 2 stitches. (L) SM unrolling and cutting the CS. (M) SM final unrolling and fixing its East AP onto the East PAP. (N) First crown of S. (O) Second crown. (P) Final view of the fixed G SM.
J Metab Bariatr Surg 2020;9:24-32 https://doi.org/10.17476/jmbs.2020.9.2.24
© 2020 J Metab Bariatr Surg