Figure 16

Operative set-up for laparoscopic Nissen fundopliction. Foley and nasogastric catheters are placed after induction of general anesthesia. the patient is then placed in the 30° Trendelenburg position with the arms tucked at the sides. A pneumoperitoneum is established with a Veress needle inserted into the peritoneal cavity through a 1-cm infraumbilical incision. In patients with previous abdominal surgery the open technique is used and an approximately 2.5-cm incision is made for the introduction of the Hasson cannula. A 10-mm sheath is used for the insertion of the video camera.

Back to Text To Procedure