Laparoscopic Heller Myotomy

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5
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added:
4 months ago
views:
1424
specialty:
General Surgery

Case description

The objectives of this procedure are:

(1) to carry out myotomy of the longitudinal and circular muscles of the lower 6 cm of the esophagus, the esophagogastric junction, and the proximal 2 cm of the stomach obliterating the dysfunctional LES and

(2) to augment the antireflux barrier by fixing the lower 6 cm of myotomized esophagus below the diaphragm under the influence of positive intra-abdominal pressure and wrapping it with a partial anterior gastric fundoplication to compress the esophagus during increases in intragastric pressure, at which time reflux usually occurs.

 

tags: Laparoscopic heller myotomy achalasia video case laparoscopy myotomy video case esophagus esophagogastric junction Surgical Video


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