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 UNUSUAL CASE
Year : 2012  |  Volume : 8  |  Issue : 3  |  Page : 93-96

Laparoscopic vertical sleeve gastrectomy after open gastric banding in a patient with situs inversus totalis


1 Department of General Surgery, Hofstra - North Shore - LIJ School of Medicine, Manhasset, NY, USA
2 Department of General Surgery, Huntington Hospital, North Shore, LIJ Health System, Huntington, New York, USA

Correspondence Address:
Gary B Deutsch
Department of General Surgery, Long Island Jewish Hospital, Hofstra - North Shore - LIJ Health System, 270-05 76th Avenue, New Hyde Park, New York 11040
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.97595

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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.






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