PART 1: ANATOMY The aim of this work was to improve operative technique in the control of gastric reflux in hiatus hernia by more exact anatomical knowledge. During dissections to establish the nerve supply of the crura (Collis, Satchwell, and Abrams, 1954) it became obvious that there were points in the anatomy of the area which had not been fully described and were not generally appreciated. It seemed reasonable to presume that the anatomical arrangements were designed for a functional result and that deductions could be made from this study about the mechanism of the oesophageal hiatus. MATERIALIn preparing the previous paper on the nerve supply of the diaphragm, 14 Fig. 7. The overlap below the hiatus presents the usual pattern, but all the fibres forming the lower muscle band come from the left crus. They cross over in a scissor-like fashion, a similar band coming on 4 April 2019 by guest. Protected by copyright.
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