Table of Contents
ISRN Gastroenterology
Volume 2011, Article ID 347487, 3 pages
http://dx.doi.org/10.5402/2011/347487
Case Report

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

1Department of General Surgery , Istanbul Faculty of Medicine, University of Istanbul, Istanbul, Turkey
2Department of General Surgery, Memorial Hizmet Hospital, Istanbul, Turkey
3Department of General Surgery, Faculty of Medicine, Yuzuncuyıl University, Van, Turkey
4Department of General Surgery, Faculty of Medicine, Maltepe University, Istanbul, Turkey
5Department of General Surgery, Canakkale Military Hospital, Canakkale, Turkey
6Department of General Surgery, Faculty of Medicine, Yeditepe University, Canakkale, Turkey

Received 26 January 2011; Accepted 22 March 2011

Academic Editors: A. A. te Velde and A. Weimann

Copyright © 2011 Umut Barbaros et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 and Methods. 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.