Minimally Invasive Esophageal Procedures    
   
  1. Orogastric intubation
  2. Reverse Trendelenburg positioning
  3. Foley catheterization
  4. Use of pneumatic compression hose
  5. All of the above

Answer 2 is not correct. Answer 5 is correct.

Objective: To understand the operative planning necessary for a laparoscopic Nissen fundoplication

During laparoscopic fundoplication, the patient is placed under general anesthesia and intubated. Abdominal wall relaxation is ensured by the administration of a nondepolarizing muscle relaxant. An orogastric tube is inserted at the beginning of the operation to keep the stomach decompressed. The patient is placed in a steep reverse Trendelenburg position, with the legs extended in stirrups. The surgeon stands between the patient's legs. A Foley catheter is inserted at the beginning of the procedure and is usually removed in the postoperative period. Because increased abdominal pressure from the pneumoperitoneum and the steep reverse Trendelenburg position decreases venous return, pneumatic compression stockings are always used as prophylaxis against deep vein thrombosis.

< Back to Question 2  |  Continue to Question 3 >