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Laparoscopic Antireflux Procedures

Overview
Sages Guidelines
OR Set-up
Trocars
Instruments
Consent
Billing-Coding
Lap Nissen-360
Lap Toupet-270
w Esophageal Length.
Redo LapNissen
Technical Analysis
Complications
Surg. Performance
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Laparoscopic Antireflux Procedures
Operating Room Set-up
 

 

OPERATING ROOM SET-UP
OR TABLE  Electric - Allen Stirrups
PATIENT POSITION  Lithotomy - Allen Stirrups
SURGEON POSITION  Stands between the legs of the patient
ASSISTANT POSITION  No dedicated assistant needed
NURSE POSITION  To the right of the patient
PNEUMATIC STOCKINGS  YES
FOLEY  NO
CVP  NO
MONITORS  2 - One on each side of the head of the patient
MONITORS HEIGHT  5 feet minimum
MAYO STAND  By left foot of the patient
Surg. ROBOT  Not Standard - Optional

 

 


 

Procedural Videos
> Lap Nissen: 360 Deg. Simple - Full

> Lap Nissen: 360  Deg. Complicated

> Lap Nissen: Using the EndoStich Instrument.

> Lap Nissen: Taking down the short gastric vessels with the UltraShears instruments

> Lap Nissen: Management of Iatrogenic Splenic Tear

> Lap Toupet: 270 Deg. Full

> Reinforced Lap Nissen: 360 Deg. Full

> Lap Nissen with closure of large Paraesophageal Hernia

> LapNissen with Esophageal Lengthening

> Lap Nissen: Revision of Failed Lap Nissen

> Lap Nissen: Revision of Open Nissen Fundoplication

> Lap Nissen with Hepatic Shoulder


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