“Groundbreaking Single-Incision Gall Bladder Surgery Successfully Performed on Woman with Situs Inversus at Fortis Gurugram”
Gurugram : In a remarkable medical achievement, doctors at Fortis Memorial Research Institute, Gurugram, executed a challenging laparoscopic gall bladder surgery on a 46-year-old woman afflicted with Situs Inversus—a rare congenital condition where the internal organs are transposed, with right-side organs on the left and left-side organs on the right. This condition complicates diagnosis and surgical procedures, necessitating heightened skill and preparation on the surgeon’s part.
In an innovative breakthrough, the surgical team, led by Dr. Ajay Kumar Kriplani, Director of Minimal Access Bariatric and GI Surgery at Fortis Memorial Research Institute, conducted the complex surgery through a single incision (one Port). The patient was discharged two days later in stable condition, marking a pioneering achievement in gall bladder surgery in India and the world, with only two previous instances documented globally.
The patient initially complained of recurring pain in her upper left abdomen and underwent ultrasound examination, revealing gall bladder stones situated in the left upper abdomen, contrary to the typical right-side placement. The appendix, stomach, sigmoid colon, and heart were also on the opposite sides as a result of this condition known as Situs Inversus with dextro-cardia.
Dr. Ajay Kumar Kriplani explained the surgical procedure, emphasizing the advantages of single-port laparoscopic surgery, resulting in quicker recovery and superior cosmetic outcomes. He noted the unique challenges of performing laparoscopic surgery for mirror-image anatomy, especially with a single incision, and the need to adapt the surgeon’s position and instrument placement accordingly.
Mahipal Singh Bhanot, Senior Vice President & Business Head of Fortis Memorial Research Institute, commended the expert medical team for their precision surgery in this challenging case, underscoring the significance of accurate diagnosis and skilled treatment.
Situs inversus totalis (SIT) is an exceptionally rare congenital anomaly characterized by a complete mirror-image transposition of both abdominal and thoracic organs, affecting 1 in 10,000 to 1 in 20,000 individuals, with a higher prevalence in males.
