DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Laparoscopic Repair of Paraoesophageal (Rolling) Hiatus Hernia
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:
Symptomatic type II / III / IV hiatus hernia. [Symptoms: dysphagia / volvulus / anaemia / intermittent obstruction].