Toupet fundoplication. Step by step. Part II , "encircling & final dissection" by Dr. Yerdel
mehmet ali yerdel
Published at : 27 Jan 2021
After initial dissection of the phreno-esophageal ligament, the second step involves the encircling of the esophagus with "blunt" dissection by peanuts. During this dissection I almost always identify the posterior vagus & place it anteriorly towards the esophagus.