Nissen fundoplication

Abstract

Gastroesophageal reflux disease is commonly managed using the laparoscopic Nissen fundoplication technique in a large number of pediatric centers worldwide. The procedure is performed with ease using minimal access techniques; however attention has to be paid to the technical aspects to avoid complications. The chapter explains the procedure of laparoscopic Nissen fundoplication and outlines the operation room setup, positioning of the patient, special instruments required for the procedure and the port placement sites. The indications, contraindications, preoperative considerations and technical considerations for laparoscopic Nissen fundoplication have also been listed. Possible procedural variations have been outlined. The surgical procedure has been explained using sequential high quality images. © 2009 Springer-Verlag Berlin Heidelberg.