Laparoscopic gastric banding for morbid obesity in a patient with situs inversus totalis
OBESITY SURGERY, vol.15, no.9, pp.1344-1346, 2005 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 15 Issue: 9
- Publication Date: 2005
- Doi Number: 10.1381/096089205774512591
- Journal Name: OBESITY SURGERY
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Page Numbers: pp.1344-1346
- Keywords: morbid obesity, bariatric surgery, laparoscopic gastric banding, situs inversus totalis
- Yozgat Bozok University Affiliated: No
Abstract
We discuss the operative challenges posed by the advanced laparoscopic approach for a patient with situs inversus totalis. The patient was a morbidly obese woman with multiple co-morbidities related to her weight. The modifications in the surgical technique include the insertion of trocars according to the mirror image anatomy of the intra-abdominal organs under laparoscopic visualization. We suggest preoperative abdominal ultrasound in order to diagnose both gallbladder stones and also the reverse location of intra-abdominal organs that is rarely seen. A laparoscopic gastric banding, not a contradiction for situs inversus totalis, was performed successfully.