Case Report
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
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
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