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Heller myotomy is a surgical procedure [1] in which the muscles of the cardia (lower esophageal sphincter or LES) are cut, allowing food and liquids to pass to the stomach. It is used to treat achalasia , a disorder in which the lower esophageal sphincter fails to relax properly, making it difficult for food and liquids to reach the stomach.
Heller Myotomy: Commonly used for treating achalasia, Heller myotomy involves cutting the muscle layers of the LES. A minimally invasive, laparoscopic approach is preferred, often combined with a partial fundoplication to prevent gastroesophageal reflux (GERD) post-surgery. [1]
Upper gastrointestinal surgery: Heller myotomy: Ernest Heller: Upper gastrointestinal surgery: Procedure in which the lower oesophageal sphincter is cut to allow passage of food into the stomach in patients with achalasia: Heller E (1913). "Extramucose Cardiaplastik beim chronischen Cardiospasmus mit Dilatation des Oesophagus". Mitteil Grenzgeb ...
After surgery, patients should keep to a soft diet for several weeks to a month, avoiding foods that can aggravate reflux. [33] The most recommended fundoplication to complement Heller myotomy is Dor fundoplication, which consists of a 180- to 200-degree anterior wrap around the esophagus. It provides excellent results as compared to Nissen's ...
Laparoscopic surgery, also called minimally invasive procedure, bandaid surgery, or keyhole surgery, is a modern surgical technique. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time.
POEM is a form of natural orifice translumenal endoscopic surgery, or NOTES. Like the traditional surgical myotomy, the procedure is performed under general endotracheal anesthesia. The remainder of the procedure is performed using a flexible endoscope inserted through the mouth, and no cuts are made on the chest or abdomen.
Uvulotomy · Myotomy (Heller myotomy · Pyloromyotomy) · Anal sphincterotomy · Lateral internal sphincterotomy: Vertical banded gastroplasty · Gastropexy · Colon resection · Nissen fundoplication · Hernia repair · Omentopexy · Liver biopsy: Urinary: Urethroplasty · Pyeloplasty: Nephrectomy · Cystectomy
Laparoscopic approach: In the laparoscopic approach, the appropriate area of the gastrointestinal tract is accessed in a minimally invasive manner. [5] This approach may be chosen due to the reduced hospital stay, quicker recovery time, and higher satisfaction with the appearance of the surgical site after the patient has healed when compared ...