ESOPHAGUS > Laparoscopic Nissen's Fundoplication

Patient and Port position: Patient placed in modified Lloyd Davies position
Pneumoperitoneum created by veress needle through 10 mm Supraumbilical skin incision which later on converted into 10mm camera port.  5mm epigastric, 5mm RUQ, 10mm LUQ ports and 5 mm left anterior axillary line port were made.

Initial step is to visualize all quadrants of peritoneal cavity, liver surfaces, esophageal hiatus.
Esophageal hiatus dissected. Short gastric vessels divided. Crural approximation done by 3-0 interrupted silk sutures. Nissen’s fundoapplication created over lower esophagus and fixed to right crus of diaphragm by silk sutures.