Laparoscopic Heller Myotomy

Laparoscopic cardiomyotomy is a procedure used to treat achalasia, a condition that affects the esophagus. Achalasia is characterized by the failure of the lower esophageal sphincter (LES) to relax properly, which prevents food from passing into the stomach. This condition often results in chest pain, difficulty swallowing (dysphagia), regurgitation of food, and other digestive issues.

In laparoscopic cardiomyotomy, the surgeon cuts through the muscle of the LES to alleviate the obstruction and restore normal swallowing. The procedure is performed using minimally invasive techniques, meaning smaller incisions are made, and a camera (laparoscope) is used to guide the surgeon. This results in less pain, fewer complications, and a faster recovery compared to traditional open surgery.

Preparation: Before the surgery, the patient is given general anesthesia to ensure they are unconscious and pain-free.

Small Incisions: The surgeon makes several small incisions in the abdomen. Through these incisions, the laparoscope and surgical instruments are inserted.

Insertion of Laparoscope: The laparoscope, which is a thin tube with a camera and light, is inserted through one of the incisions. The camera provides a clear view of the esophagus on a monitor, allowing the surgeon to operate with precision.

Cardiomyotomy: The surgeon carefully cuts the muscle fibers of the LES to allow the esophagus to relax and food to pass more easily into the stomach.

Post-Surgical Care: After the procedure, the incisions are closed with sutures, and the patient is monitored during recovery. Most patients experience a significant improvement in symptoms after surgery.

Minimally Invasive: Smaller incisions reduce the risk of infection and scarring.