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Laparoscopic Anterior 180° Partial Fundoplication in Situs Inversus Totalis: Technical Considerations and Literature
Sze Li Siow1,2,3,4, Febra Siam4
1Department of Surgery, Sarawak General Hospital, Kuching, MYS.
Cureus
|November 20, 2025
Summary
Laparoscopic surgery for gastroesophageal reflux disease in patients with situs inversus totalis (SIT) is challenging. This case report details a successful anterior partial fundoplication in a patient with SIT, offering a new surgical option.
Area of Science:
- Surgical innovation
- Gastroenterology
- Congenital abnormalities
Background:
- Situs inversus totalis (SIT) involves complete mirror-image transposition of organs.
- Gastroesophageal reflux disease (GERD) in SIT patients presents unique surgical challenges.
- Laparoscopic fundoplication for GERD in SIT is rarely reported, with only Nissen techniques previously described.
