Heller
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...
Methylene Blue Test after Myotomy Completion...
Laparoscopic Heller's cardiomyotomy is the surgical procedure of choice in the management of oesophageal achalasia. It is critical to confirm the completeness of the myotomy and mucosal integrity at the...
Robotic Heller's Cardiomyotomy & Dor...
This is a video demonstration of a robotic heller's cardiomyotomy and Dor fundoplication performed on a 42 year old female who presented with dysphagia and was diagnosed to have type 2 achalasia.
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...
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,...
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...
Achalasia Surgery - Mobilizing the Left Hemiliver...
A general exploration of the abdomen is undertaken, with particular attention paid to the duodenal wall for evidence of scarring or deformity. The left hemiliver is then mobilized by dividing the triangular...
Laparoscopic Heller Cardiomyotomy with Dor Fundoplication
A 41-year-old male patient (BMI 19.6 kg) with symptomatic achalasia after failed endoscopic treatment (3x balloon dilatation). The patient was scheduled for laparoscopic Heller cardiomyotomy and Dor fundoplication.
Robotic Heller's Myotomy for Achalasia Cardia
This is a video demonstration for Robotic Heller's Myotomy for achalasia cardia in a 13 year old girl. She presented with severe dysphagia and has classical appearance of achalasia on esophagogram. The...
POEM Complications with Delayed Laparoscopic...
Presented by Ann D. Smith at the "SS20: Flexible Endoscopy I" session during the SAGES 2019 Annual Meeting in Baltimore, MD on Friday, April 5, 2019. This was a peer-reviewed presentation, program...
Laparoscopic treatment of achalasia - Heller's...
Operator: Dr Czesław Osuch I Katedra Chirurgii Ogólnej, Onkologicznej i Gastroenterologicznej UJ CM w Krakowie The film was presented on MEDtube Videosession during the Congress of Minimally Invasive...
Laparoscopic Heller's Cardiomyotomy Complicated...
The film presents laparoscopic Heller's cardiomyotomy in a 14-year old boy. During the operation there was iatrogenic perforation of the esophageal mucosa. Perforation was sutured with single absorbable...
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