What is a surgical myotomy?
The myotomy includes cutting of the muscular layer of the lower part of the esophagus and the upper part of the stomach to completely open the lower esophageal sphincter and relieve dysphagia.
Is laparoscopic Heller myotomy major surgery?
Open Heller myotomy is major surgery with a long recovery period. It also carries a risk of esophagus rupture (perforation) during the surgery.
How is myotomy done?
We access your esophagus through the incisions and carry out your procedure with a video camera and specialized instruments. During the procedure, we precisely divide the muscle layers in your esophagus to access stiffened tissue and make small cuts in it (myotomy) to relieve pressure.
How long does laparoscopic Heller myotomy take?
How long does a laparoscopic Heller myotomy take? Usually the operation takes from one to two hours. The longer operations usually result when an anti-reflux operation is combined with the myotomy.
What type of surgeon performs Heller myotomy?
What to expect during Heller myotomy procedure. A Heller myotomy will typically take 3 to 4 hours to complete. This procedure is typically performed in the cardiothoracic operating room (OR). Check with your doctor about the details of your procedure.
What is partial fundoplication?
A partial fundoplication, also called TIF surgery, which stands for transoral incisionless fundoplication, is designed to surgically reconstruct the valve between the esophagus and the stomach that acts as a barrier for stomach acid.
What is the purpose of laser Heller myotomy?
Heller Myotomy is a surgical procedure used to treat achalasia, a severe swallowing disorder. An esophageal motility problem, this condition results from the inability of the lower esophageal sphincter (LES) to properly function as an open and close valve.
Can you eat normally after Heller myotomy?
For the first week (7 days) after your Heller myotomy surgery, you can take a full or thick liquid diet such as milkshakes, puddings, soups and mashed potatoes. If you can eat these foods without any problems, you can then start having soft foods.
How long after myotomy surgery can u eat solid foods?
What happens after laparoscopic Heller myotomy?
Most patients may take clear liquids the same day after a Heller myotomy. You may begin a soft food diet 2 to 3 days later. Within a month, you may return to a normal diet. If you receive the minimally invasive surgical approach, your hospital stay will be approximately two to three days.
How is a myotomy performed in the workup of esophageal cancer?
Place the myotomy on the left side of the esophagus. Using the hook cautery, lift the muscle well up off the mucosa and apply the current intermittently to prevent excess heat transfer to the mucosa. A laparoscopic peanut dissector can help develop the plane once the mucosa is identified.
How is Dor fundoplication (Dor) performed?
A suitable Dor fundoplication can be created in most patients without needing to take down any short gastric vessels, although if mobility of the fundus is restricted the uppermost short gastric vessels should be divided. The anterior fundus is sutured to the left crus and the left edge of the myotomy ( Video 7a ).
What causes a myotomy to be converted to an open procedure?
Rarely is a mucosal injury cause for conversion to an open procedure, but consideration should be given to covering the area of the myotomy with the fundus either using a Dor procedure or by modifying the position of the Toupet so that the anterior fundus covers the myotomy.
Where do you start a myotomy?
The line of the myotomy is marked with cautery, and is positioned well over on the left side of the esophagus. The myotomy is initiated a centimeter or two above the gastroesophageal junction in what is the thickest area of the lower esophageal sphincter.