c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Laparoscopic Nissen Fundoplication: 1

A D V E R T I S E M E N T

   
 

A 56-year-old patient worked up for chest pain was discovered to have a large hiatal hernia, seen here in the CT scout film with contrast in the stomach.       

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Laparoscopic Nissen Fundoplication: 2

A D V E R T I S E M E N T

   
 

The CT scan showed a paraesophageal hiatal hernia with the esophagogastric junction in the chest (type 3).       

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Laparoscopic Nissen Fundoplication: 3

A D V E R T I S E M E N T

   
 

The patient was taken to the operating room for a laparoscopic Nissen fundoplication. An 18 Fr. nasogastric tube was placed. The peritoneal cavity was inflated to 15 mm Hg pressure with carbon dioxide through a Veress needle placed in the supraumbilical position.      

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This page was last modified on 4/17/2002.