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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.
Myotomy is a surgical procedure that involves cutting a muscle to relieve constriction, often performed in the gastrointestinal or urological systems. The procedure can alleviate symptoms caused by muscle-related functional obstructions, particularly in cases of achalasia, a disorder that affects the esophagus.
Many surgical procedure names can be broken into parts to indicate the meaning. For example, in gastrectomy, "ectomy" is a suffix meaning the removal of a part of the body. "Gastro-" means stomach. Thus, gastrectomy refers to the surgical removal of the stomach (or sections thereof).
A related procedure is laparoscopy, where cameras and other instruments are inserted into the peritoneal cavity via small holes in the abdomen. For example, an appendectomy can be done either by a laparotomy or by a laparoscopic approach. There is no evidence of short-term or long-term advantages for peritoneal closure during laparotomy. [15]
At the time, laparoscopic surgery was uncommon and Dr. Hallberg and his assistant, Dr. Peter Forsell, started performing the open technique to implant the SAGB. In 1992, Forsell, who fully owned the patent, was in contact with surgeons in Switzerland, Italy and Germany who began to implant the SAGB with the laparoscopic technique.
The overall rate of complications during the 30 days following surgery ranges from 7% for laparoscopic procedures to 14.5% for operations through open incisions. One study on mortality revealed a 0% mortality rate out of 401 laparoscopic cases, and 0.6% out of 955 open procedures.
A laparoscopic hernia repair is when the hiatal hernia is corrected using a covering for the mesh that is used to repair the weakened area. The defect is then measured and the mesh is stapled into place. [6] A benefit of performing Laparoscopic hernia repair is shorter recovery times compared to other methods.
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 ...