Laparoscopic gastric banding for morbid obesity in a patient with situs inversus totalis

ERSOY P. E., Koksal H., Ege B.

OBESITY SURGERY, vol.15, no.9, pp.1344-1346, 2005 (SCI-Expanded) identifier identifier identifier

  • 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.