During a laparoscopic Nissen Fundoplication, what dilator does the surgeon typically request to be inserted into the throat?

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In the context of a laparoscopic Nissen Fundoplication, the Maloney dilator is commonly utilized for esophageal dilation. This procedure often requires the dilation of the esophagus to facilitate the introduction of instruments and to create adequate space for the surgical manipulation of the fundoplication.

Maloney dilators are specifically designed for this purpose: they are flexible, have a smooth surface, and come in various sizes to accommodate the necessary dilation without causing significant trauma to the esophageal tissue. The tapered design allows for gradual dilation, making them ideal for safe and effective esophageal procedures.

While other dilators like Jackson, Goulet, and Hegar dilators serve specific purposes in other surgical contexts, they are not typically indicated for esophageal dilation during a Nissen Fundoplication. The choice of Maloney dilators ensures the procedure can proceed smoothly while minimizing complications related to the esophagus.

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