Pure SILS Floppy Nissen Fundoplication with Hiatal Repair: A Case Report

ISRN Gastroenterology, cilt.2011, ss.347-348, 2011 (Hakemli Dergi)

Background. Single-incision laparoscopic surgery has recently became popular on behalf of inventing less invasive procedures. In

this paper, we present a case of Pure SILS Nissen Fundoplication. Patient andMethods. In February 2010 a 29-year old male patient

with a 4 cm sliding hiatus hernia presenting with reflux symptoms had undergone a standard floppy Nissen Fundoplication with

a hiatus repair via single 2 cm incision in umbilicus. Results. The procedure had obeyed the standard natural orifice surgery rules,

and no needlescopic assistance for any stage of the operation was used so to be a pure single-incision procedure. The operation

lasted for 120 minutes without any need of conversion, and the patient was discharged the following day of operation. Conclusion.

In the recent time, hybrid single incision laparoscopy techniques have been defined with the use of extra-abdominal supplements

for retraction of liver or stomach for Nissen procedure. In addition the main issue in single-incision upper GI and/or hiatus surgery

is still the retraction of liver.We succeeded to retract the left lobe of liver through the incision and completed the operation without

any need for supplemental access besides the umbilical incision till the end. SILS Hiatus Surgery can be safely and effectively done

but the issue needs further clinical studies to state the efficacy when compared to standard laparoscopy.