Accelerate your surgical training—increase your confidence and competency in performing the Laparoscopic Nissen Fundoplication procedure by significantly increasing your cognitive knowledge and understanding. The self-paced SimPraxis® Nissen Fundoplication Trainer is a robust, elegant and engaging way to learn.

This SimPraxis Nissen iPad app is an interactive professional-level surgical simulation trainer. Divided into four modules, it is designed to significantly advance your surgical knowledge, efficiency and competency. Ideal for the entire surgical team: surgeons, residents, surgical technologists and surgical assistants. This cognitive trainer employs operating room video, interactive simulation, animation, and complete formative tracking and summative scoring in order to provide meaningful and accurate self-assessment.

Your learning objectives using this SimPraxis Nissen Trainer include:
• The specific surgical steps of the Laparoscopic Nissen Fundoplication procedure;
• Key operative decision-making and judgment;
• Respective roles of the surgeon and assistant;
• Relevant anatomy;
• Key surgical risks at each step;
• Port placement;
• Key surgical variations;
• Appropriate instruments;
• Pre- and post-op considerations.

Primary authors are Carlos A. Pellegrini, MD and Roger P. Tatum, MD, with significant contributions from Nathaniel J. Soper, MD, Northwestern University Feinberg School of Medicine, and Marco G. Patti, MD, The University of Chicago. [Note: Due to the large amount of intraoperative video, entire Trainer requires 2.4 GB free space on your iPad.]

Module 1: Comprehensive Introduction to the Laparoscopic Nissen Fundoplication surgical procedure:

Quickly build your competency and confidence on the Laparoscopic Nissen Fundoplication. This base module for the SimPraxis Laparoscopic Nissen Fundoplication iOS Trainer includes: Intro to Training; Intro to the Lap Nissen Procedure; Critical Anatomy; Surgical Risks; User Guide; Indications for Surgery; Patient Workup; Informed Consent; Overview of Surgical Instruments; Liver Retractor Set Up; Interactively Select Instruments; Patient Positioning; Port Access; and Interactive Port Placement.

We recognize, and you should understand, that as it is the case with most surgical procedures there are slightly different ways to perform a Nissen Fundoplication. . We will train you on a standard technique, and where there are differences with other surgeons, we will point these out to you as you proceed through the training and explain the rational for the variations. To this end, surgical variations are presented to you by Nathaniel J. Soper, MD and Marco G. Patti, MD.

Risks, anatomy quizzes and procedure step quizzes, are provided to test your knowledge and progress.

Tailor your individual training with these available in-app purchases:

Module 2: Dissection & Mobilization: Detailed procedure steps in performing the Dissection and & Mobilization are taught in this module including: Interactively dissecting the left and right Crus; Interactively dividing short gastric vessels and & hepatogastric ligament; and creating a window.

Module 3: Repair the Hiatus & Create the Fundoplication: In this module you will start by interactively repairing the hiatus and gauging the tightness of the crura. Following this you will create, approximate and then suture the fundoplication. Risks, anatomy and procedure step quizzes are provided.

Module 4: Coronal Sutures, Closure & Post Surgery: First, a complete anatomic & didactic review of coronal sutures is provided, then a review of the risks of the hiatal repair and fundoplication. Port site closure & post surgery considerations are also discussed.