The BICORN procedure acc. to Ablassmaier

Representation of an intact anatomy of the diaphragm and oesophagus
Anatomy of the stomach

Diaphragmatic hernia in situ

Diaphragmatic hernia

Repositioning of the stomach

Repositioning of the stomach

Exposure of the hernia gap

Exposure of the hernia gap

Closing the diaphragmatic hernia

Closing the diaphragmatic hernia

Restoration of the angle of Hiss

Restoration of the angle of Hiss

Complete reconstruction

Complete reconstruction

An alternative hiatal hernia surgery

The Bicorn procedure is an alternative to the usual surgical procedures. The aim is to restore the original anatomy of the stomach and thus reduce the typical symptoms of a diaphragmatic hernia, such as chronic heartburn, to a minimum. The successes can be seen in the patient voices and the scientific study on patient satisfaction by Jessica-M. Rana-Krujatz (2014) underline the success of the procedure.

The surgical instruments and inserted into the area of the surgery through four small skin cuts at a size of 5 millimetres and one 12-millemetre-cut. They are guided and controlled via the surgery monitor. In contrast to therapy methods where the gastric fundus is used to forma sleeve, this procedure restores the gastric fundus to its original bicorn shape (BI-ological CO-nservative ReconstructioN → biological ; very careful, preserving; reconstruction; bicorn : means "half-moon shaped")