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Laparoscopic Nissen Fundoplication 1. Where is the defect causing the

Laparoscopic Nissen Fundoplication 1. Where is the defect causing the stomach to migrate into the chest cavity? 2. What is the usual position for the patent? What modification do some surgeons prefer for easier manipulation? 3. What organ requires retraction during the procedure? How is this accomplished? 4. Which ligament must be sacrificed by incision? 5. Which nerve is isolated and protected? 6. What is the purpose of the Maloney dilator during the creation of the gastric wrap with the fundus of the stomach around the esophagus? Who passes the Maloney dilators? 7. Due to the tender tissue of the GI tract (alimentary canal), with the inner muscle and outer serosal layers, what type of suture needle (GI) is always used? The closure technique when completed using suture is two-layer technique. Describe how this is accomplished.

 
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