Belsey Mark V procedure is a modified Belsey Mark IV procedure, often employing pledgetted sutures. It corrects the issue of disruption during or after Mark IV procedure. When the sutures are tied too tight or if the diaphragm moves by force, the sutures may pull out, thus, may need repair. Mark V procedure provides better placement of the sutures in the esophageal muscle. The procedure is performed on patients with hiatal hernia and disordered esophageal motility in which an esophageal myotomy is also needed. It is named after the Bristish surgeon, Ronald Belsey. He was known for developing a series of procedures Belsey Mark I to V designed to deter gastroesophageal reflux.
- FIGURE 3. Ronald Belsey (inset) of Bristol, UK, was a surgeon of not… (2004, May). Retrieved from ResearchGate website: https://www.researchgate.net/figure/Ronald-Belsey-inset-of-Bristol-UK-was-a-surgeon-of-not-only-considerable-technical_fig3_8603279 .
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