Dr. R. K. Mishra's Lecture on Laparoscopic Fundoplication at, CAMLS, USF, Florida, USA during laparoscopic training course conducted by World Laparoscopic Training Institute, Florida, USA. During fundoplication surgery, the upper curve of the stomach (the fundus) is wrapped around the esophagus and sewn into place so that the lower portion of the esophagus passes through a small tunnel of stomach muscle. This surgery strengthens the valve between the esophagus and stomach (lower esophageal sphincter), which stops acid from backing up into the esophagus as easily. This allows the esophagus to heal. This procedure can be done through the abdomen or the chest. The chest approach is often used if a person is overweight or has a short esophagus. This procedure is often done using a laparoscopic surgical technique. Outcomes of the laparoscopic technique are best when the surgery is done by a surgeon with experience using this procedure. If a person has a hiatal hernia, which can cause gastroesophageal reflux disease (GERD) symptoms, it will also be repaired during this surgery.

Dr. R. K. Mishra, a globally recognized pioneer in laparoscopic surgery, delivered an in‑depth and highly educational lecture on Laparoscopic Fundoplication during a prestigious laparoscopic training course at the Center for Advanced Medical Learning and Simulation (CAMLS), University of South Florida (USF), USA. This session formed part of the World Laparoscopic Training Institute’s advanced surgical education program designed for surgeons keen to master minimal access surgical techniques. 

Understanding Laparoscopic Fundoplication

Laparoscopic Fundoplication is a minimally invasive surgical procedure primarily used to treat gastroesophageal reflux disease (GERD) — a condition where stomach acid flows back into the esophagus, causing irritation and discomfort. During the lecture, Dr. Mishra thoroughly explained the surgical principles and clinical rationale behind the technique. 
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At its core, this procedure involves wrapping the upper curve of the stomach (fundus) around the lower esophagus, reinforcing the lower esophageal sphincter (LES) — the muscle that prevents acid reflux. By strengthening this valve mechanism, fundoplication reduces acid regurgitation and allows damaged esophageal tissue to heal. 
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Dr. Mishra emphasized the importance of laparoscopic access — utilizing small incisions, a camera (laparoscope), and specialized instruments — which leads to reduced postoperative pain, shorter hospital stays, and quicker recovery compared to traditional open surgery. 
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Highlights of the Lecture

1. Surgical Technique and Step-by‑Step Demonstration

Dr. Mishra walked attendees through the complete procedural flow:

General anesthesia and patient preparation

Port placement for laparoscopic instruments

Visualization and mobilization of the stomach with the laparoscope

Construction of the fundic wrap around the esophagus

Securing the wrap with sutures or fixation devices

Closing incisions and postoperative management

His clear breakdown enabled surgeons of varying experience levels to grasp both the technical and conceptual aspects of laparoscopic fundoplication. 
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2. Addressing Hiatal Hernia

A frequent topic of clinical concern, hiatal hernia—often associated with GERD—was also discussed. Dr. Mishra explained how hernias encountered during surgery are repaired concurrently to ensure comprehensive treatment and improved long‑term outcomes. 
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3. Focus on Outcomes and Surgical Expertise

Dr. Mishra underscored that while laparoscopic fundoplication offers many advantages, optimal results are dependent on the surgeon’s experience with advanced laparoscopic techniques. His remarks encouraged participants to pursue continual skill refinement and evidence‑based practice. 
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Impact on Global Surgical Education

The lecture attracted general surgeons and laparoscopic trainees from around the world. Comments from participants reflect broad appreciation — highlighting Dr. Mishra’s ability to present complex surgical concepts clearly and effectively, and his contribution to expanding laparoscopic expertise globally. 
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By combining solid clinical knowledge with practical technique insights, this session at CAMLS provided valuable learning for surgeons aiming to enhance their proficiency in treating GERD and related esophageal conditions through minimally invasive surgery.