Fig. 1
From: Single-incision laparoscopic gastropexy for mesentero-axial gastric volvulus
The wound retractor (Lap Protector®, Hakko Medical, Japan) was inserted, and the silicon cap (EZ access®, Hakko Medical, Japan) was mounted to the retractor. Three 5-mm trocars (EZ trocar®, Hakko Medical, Japan) were placed in the cap (a). After creating a pneumoperitoneum of 6–10 mmHg, a 5-mm, 30° laparoscope was inserted into one of those trocars. Then, laparoscopic exploration confirmed the presence of the gastrosplenic ligaments in all three cases. The anterior wall of the body of the stomach was sutured to the peritoneum using 3-0 non-absorbable sutures (b, c). The first suture was made on the fundus to the diaphragm. The other five sutures were made along the major curve of the stomach. We tried not to create the big space between the sutures for prevention of occurrence of an internal hernia. The scar was very small, and the patients had good cosmetic results (d)