Open AccessLaparoscopic vertical sleeve gastrectomy after open gastric banding in a patient with situs inversus totalis
Author(s) -
Gary B. Deutsch,
Vikraman Gunabushanam,
Nitin Mishra,
Sandeep Anantha Sathyanarayana,
Vidyulata Kamath,
David Buchin
Publication year - 2012
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.97595
Subject(s) - medicine , situs inversus , gastric banding , sleeve gastrectomy , surgery , morbid obesity , laparoscopy , laparoscopic adjustable gastric banding , traction (geology) , general surgery , gastric bypass , weight loss , obesity , geomorphology , geology
While several equivalent alternatives are available in the bariatric algorithm, more recently the laparoscopic sleeve gastrectomy (SG) has been gaining traction as an effective means of weight loss in patients with morbid obesity. We present the case of a 39-year-old woman with situs inversus totalis, who was taken to the operating room for laparoscopic SG. The patient had previously undergone a failed open gastric banding procedure 20 months earlier. Awareness of the inherited condition before performing the operation allows for advanced planning and preparation. Subsequent modifications to the standard trocar placement help make the procedure more technically feasible. To our knowledge, this is the first published report of a laparoscopic SG after open gastric banding in a patient with situs inversus totalis. After encountering the initial disorientation, we believe experienced laparoscopic surgeons can perform this procedure successfully and safely.