operations

Question 1

fundoplication

Answer 1

Types - 360, posterior 270, anterior 180
oesophageal exposure and mobilisation (note vagus nerve and accessory left hepatic artery
Delineate both crura - preserve overlying epimysium
sling the oesophagus - get 4cm and preserve the vagus nerves
mobilise short gastrics
Repair crura - figure 8 tichron
fundoplication. secure wrap to crurua
Completion - consider drain in giant hiatus hernia, + NGT

Question 2

exposure of suprageniculate popliteal artery

Answer 2

make skin incision over sartorius
dissect anterior border of the sartorius taking care to preserve the medial cutaneous nerve of the thigh
open fascia to expose popliteal vein and then artery