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  • Attaching tissue to the diaphragm is common in Nissen fundoplication surgery using conventional methods. [0604] A fastener or other attachment structure can be passed through the gastric wall and through the diaphragm while manipulating surrounding tissue, including the esophagus and the lungs, to avoid damage to these tissues. [0605]FIG. 92 illustrates a gastropexy apparatus 910.
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