DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Laparoscopic Nissen Fundoplication
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine, legs split, head-up (reverse Trendelenburg). Surgeon between legs.
INDICATION:
Gastro-oesophageal reflux disease, medically refractory / patient preference. [Hiatus hernia confirmed on endoscopy / barium swallow / CT].