Preoperative workup, consisting of upper endoscopy, barium swallow, esophageal manometry, and a pH probe, revealed a large hiatal hernia, normal esophageal motility, and abnormal acid exposure in the esophagus all of which were consistent with gastroesophageal reflux disease. [...] the laparoscopic Nissen fundoplication is a more complex operation, which may explain why there are only two other reported cases in the literature.1, 2 The most important differences when compared with the standard Nissen fundoplication was the reversed anatomy and the resulting difficulty encountered with suturing and retracting the liver simultaneously with the right hand.
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"Laparoscopic Nissen Fundoplication in a Patient with Situs Inversus Totalis?"Please download to view full document