A 75- year-old patient was admitted for repair of a hiatal hernia, which was performed on the first day of admission. While recovering, the patient fell out of bed and sustained a fractured femur which was surgically reduced. Further complications included severe angina for which a cardiac catheterization and PTCA were performed. The principal procedure is

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The principal procedure is the one that brought the patient into the hospital in the first place, which in this case is the repair of the hiatal hernia (herniorrhaphy). The other procedures were done as a result of complications which arose during the patient's recovery.

A 75- Year-Old Patient Was Admitted for Repair of a Hiatal