heller myotomy
Mastering Heller Myotomy: Preserving the Anterior...
During Heller myotomy, preservation of the anterior vagus nerve is a critical step that directly impacts postoperative gastric function. The anterior vagus nerve runs along the anterior surface of the...
Extended Laparoscopic Heller Myotomy for Type...
In type III achalasia, characterized by spastic and hypertensive esophageal contractions, an extended and carefully controlled Heller myotomy is essential for durable symptom relief. In this video, I...
End Result of Laparoscopic Heller Myotomy Adequate...
This short video demonstrates the final outcome of laparoscopic Heller myotomy after complete separation of the circular and longitudinal muscle fibers of the esophagus. The myotomy is extended approximately...
Long Myotomy for Achalasia
Laparoscopic Heller myotomy (LHM) is indeed considered the gold standard treatment for achalasia. Studies indicate that it effectively relieves dysphagia in over 90% of patients, with minimal complications...
Laparoscopic Heller Myotomy for Extreme Megaesophagus...
Heller myotomy is recognized as the optimal treatment for achalasia. However, treatment of the markedly dilated esophagus has been debated in the literature. Although esophagectomy has been the standard...
Achalasia Mucosal Perforation: Repair of Perforation...
Laparoscopic Heller myotomy is the mainstay surgical treatment of esophageal achalasia and has proven to be safe and effective over the course of time. Esophageal perforation after myotomy can be a serious...
Laparoscopic Heller Myotomy and Dor Fundoplication...
Achalasia is a degenerative esophageal disease characterized by aperistalsis of the esophageal body and impaired relaxation of the lower esophageal sphincter. The etiology involves T-cell mediated destruction...
Management of End-stage Achalasia (Sigmoid Achalasia)...
Achalasia is a rare esophageal motility disorder causing dysphagia and weight loss. Severe cases may present with a significantly dilated and sigmoid-shaped esophagus (sigmoid achalasia). Traditionally,...
Long Esophageal Myotomy for Achalasia Cardia
The esophagogastric junction (EGJ) is exposed for 6 to 8 cm proximally, and the myotomy is performed longitudinally in the anterior esophageal axis using blunt dissection, electric hook, scissors,...
Muscle Splitting Technique in Heller's Myotomy...
Dissection starts by entering the gastrohepatic ligament, ensuring the hepatic branch of the vagus nerve is preserved. The interface between the right phrenoesophageal ligament and right crus is...
Laparoscopic Revisional Surgery After Failed...
Heller myotomy has proved an effective treatment for esophageal achalasia, with good or excellent results in 90% of patients. The treatment of failures remains controversial, however. Recurrence...
Laparoscopic Surgery for Esophageal Achalasia...
This video demonstrates a case of achalasia in a 34-year-old man suffering from esophageal achalasia complicated with sigmoid esophagus and epiphrenic esophageal diverticulum was treated with a simultaneous...
The Laparoscopic Approach for Epiphrenic Diverticula...
Esophageal diverticula refer to outpouchings of the esophageal mucosa and may be seen with esophageal motility disorders. In achalasia, pulsion diverticula may form as a result of increased intraluminal...
Adequate Heller Myotomy
Laparoscopy video case: five trocars were placed in the upper part of the abdomen. The gastroesophageal junction and lower mediastinal esophagus were widely mobilized while both vagus nerves were preserved....
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