Abstract

Case Report

Transumbilical Single-incision Hiatal Hernia Repair and Nissen Fundoplication in situs Inversus Totalis: A Rare Case Report

Qing Cao, Chen Kang, Kang Gu, Yin Peng, Yang Lv, Xu-Zhong Ding and Peng Li*

Published: 22 January, 2026 | Volume 10 - Issue 1 | Pages: 001-003

In this manuscript, we present an Hiatal hernia(HH) with situs inversus totalis(SIT) performed by transumbilical single-incision laparoscopic hiatal hernia repair and Nissen fundoplication, which is rarely reported previously. A 62-year-old woman was admitted with a diagnosis of hiatal hernia and gastroesophageal reflux disease (GERD), as proven by Gastroesophageal Reflux Disease Questionnaire (GERD-Q) scoring, endoscopic, and radiologic findings. The patient had a history of spinal correction surgery for scoliosis five years ago, during which her SIT was identified. We performed a classic LHHR plus Nissen fundoplication for the patient, especially through a transumbilical single incision. An atraumatic method of liver retraction with a Veress needle sheathed by a latex tube and a convenient autosuturing device was used to overcome the difficulties. The patient experienced an uneventful recovery and presented complete resolution of GERD at the one-month follow-up.

Read Full Article HTML DOI: 10.29328/journal.ated.1001017 Cite this Article Read Full Article PDF

Keywords:

Situs inversus totalis; Hiatal hernia; Gastroesophageal Reflux Disease (GERD); Laparoscopic surgery; Single-Incision Surgery (SILS); Nissen fundoplication; Gastrointestinal surgery; Hernia repair; Gastrogram; Endoscopy; CT scan

References

  1. Haran C, Fischer N, Oliver T, Grant M. Mirror-image confusion: successful giant hiatus hernia repair in situs inversus totalis. N Z Med J. 2019;132(1496):66-68. Available from: https://pubmed.ncbi.nlm.nih.gov/31170135/
  2. Perisetla N, Doyle WN Jr, Ladehoff L, Natarelli N, Nemov V, Pittala K, et al. Effects of Spinal Deformities on Hiatal Hernia Occurrence and Recurrence. J Gastrointest Surg. 2023;27(12):2718-2723. Available from: https://doi.org/10.1007/s11605-023-05877-5
  3. Hamzaoglu I, Karahasanoglu T, Aytac E, Karatas A, Baca B. Transumbilical totally laparoscopic single-port Nissen fundoplication: a new method of liver retraction: the Istanbul technique. J Gastrointest Surg. 2010;14(6):1035-9. Available from: https://doi.org/10.1007/s11605-010-1183-1
  4. Yu X, Cao Q, Feng Y, Li M, Li P. Application of a modified liver retraction technique for laparoscopic bariatric surgery. Chinese Journal of Obesity and Metabolic Diseases (Electronic Edition). 2023;9(4):246–252. Available from: https://zhfpydxbdzzz.cma-cmc.com.cn/CN/10.3877/cma.j.issn.2095-9605.2023.04.004

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