Pediatric laparoscopic Nissen fundoplication
Epublication WebSurg.com, Jul 2006;06(07). URL: http://websurg.com/doi/vd01en1995
This video demonstrates a laparoscopic Nissen fundoplication in an 18-month-old baby with severe GERD. The patient had a TEF repair as a newborn. Five 3-5 mm ports are inserted. The surgeon first mobilizes the esophagus and preserves an accessory left hepatic artery coming off the left gastric artery. The short gastric vessels are mobilized and a retroesophageal window is created. The hiatus is closed with a single 2-0 non-absorbable suture. Then the Nissen fundoplication is constructed without a bougie. The wrap is anchored to the right crura by the first suture.