Laparoscopic Nissen fundoplication - A technique for the easy and precise manufacture of a true fundoplication

Passing the stomach behind the esophagus during laparoscopic Nissen fundopl ication is a common source of frustration for the laparoscopic surgeon. It often leads to an incorrect formation of the fundoplication, resulting in a wrapping or twisting of the fundus around the distal esophagus. The correc t technique should result in the distal esophagus being enveloped inside th e fundus without distorting the orientation of the greater curve. We have d eveloped an easy, precise, and reproducible technique to perform this maneu ver. The steps for performance of this maneuver are described.