bandage-green

Laparoscopic Heller Myotomy with Partial Fundoplication

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, Reverse Trendelenburg, arms extended
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : TAP
Considerations : Aspiration risk / Full stomach, PONV

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Setup - five upper abdominal ports, surgeon standing between the legs, steep reverse Trendelenburg so the viscera fall away from the hiatus. A liver retractor lifts the left lateral segment off the...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?