Figure 1From: The Belsey Mark IV: an operation with an enduring role in the management of complicated hiatal hernia Belsey Mark IV operation. Top left – Hernial sac adhering to the lung. Bottom left – Sutures placed between the diaphragmatic crura. Top right – First row of sutures between the stomach and the esophagus. Bottom right – Second row of sutures incorporating the stomach, the esophagus and the diaphragm.Back to article page