Gastric Banding Research Today is a free monthly online journal that collates and summarizes the latest research about Gastric Banding, including details on laparoscopic gastric banding, stomach stapling, gastric bypass, risks, diet.

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

Ersoy E, Koksal H, Ege B

Department of General Surgery, Gazi University, Faculty of Medicine, Ankara, Turkey. eminersoy@yahoo.com

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.

Published 1 November 2005 in Obes Surg, 15(9): 1344-6.
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