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In a time of rapid growth and advances in modern technology, a need for the adoption of new surgical and anaesthetic approaches to the Laparoscopic Nissen Fundoplication has become apparent. This procedure has evolved to one that is simplistic in its approach, using an opiate-free anaesthetic aimed at reducing post-operative diaphragmatic stressors, with an easy OR set up and a more efficient OR change-over time. It can be performed with just one surgical assistant / camera operator and is cost-effective whilst providing reproducible results, without sacrificing the three crucial steps when performing a laparoscopic anti-reflux procedure, and, most importantly, achieving the goals of surgery.
