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Laparoscopic Heller Myotomy and Dor Fundoplication for the Patient Suffering from Achalasia
General Surgery / Aug 31st, 2019 3:21 pm     A+ | a-


Laparoscopic Heller myotomy is a minimally invasive procedure that opens the tight lower esophageal sphincter by performing a myotomy of the thick muscle of the lower part of the esophagus and the upper part of the stomach to relieve the dysphagia.

After Laparoscopic Hellers Myotomy a Dor fundoplication is performed around the esophagus to make a low-pressure valve. This is performed to prevent reflux from the stomach into the esophagus following the myotomy.

There is a very small chance that patients may develop reflux despite Dor fundoplication and may need to be treated with antacid medication. This procedure results in great symptomatic relief.

After Laparoscopic Heller myotomy patients usually stay in the hospital for one night. They start drinking one day after surgery and are discharged home. They will follow dietary restrictions for about two weeks and can start advancing their diet after a clinic visit two weeks following the surgery.

Laparoscopic Heller myotomy and Dor fundoplication improve swallowing in more than 90% of patients. The causes of the few failures are still not completely understood. To identify the technical elements that affected the outcomes. 

In the above video, The myotomy was planned to be 7 cm long, extending 1 to 2 cm onto the gastric wall. After completing the myotomy, the short gastric vessels were divided, and an anterior 180° Dor fundoplication was created using 2 parallel rows of sutures. According to the plan, only the uppermost stitch of these rows was meant to include the crural pillar, in addition to the stomach and esophageal muscle.

 
8 COMMENTS
Dr. Sangeeta
#1
Apr 24th, 2020 5:57 am
Very good video with a clear and simple explanation! keep up the good work! Thanks for uploading Laparoscopic Heller myotomy Surgery.
Anshu
#2
Apr 24th, 2020 6:00 am
This is a very interesting video and this is a useful learning tool for surgeons and gynecologists of the whole World. Thanks for sharing the Laparoscopic Heller Myotomy video.
Dilara Wanrio
#3
May 11th, 2020 7:54 am
This is a very interesting presentation and this is a useful learning tool for surgeons and gynecologists of the whole World. Thanks World Laparoscopy Hospital for sharing the Heller Myotomy video. It is really great to learn the mysteries Laparoscopy. Prof Dr Mishra make surgeons life easier.
AMIT KUMAR
#4
May 21st, 2020 10:17 am
Thank you for your amazing information about Laparoscopic Heller Myotomy and Dor Fundoplication for the Patient Suffering from Achalasia. Thanks again It was a really very interesting information.
Dr. Prakash Chandra Jain
#5
May 22nd, 2020 11:24 am
Thank you very much for posting this excellent video of Laparoscopic Heller Myotomy and Dor Fundoplication for the Patient Suffering from Achalasia. watching your video gave me a bit more information. Really i learn a lot's Thanks for sharing.
Dr. Jyotika Vats
#6
Jun 10th, 2020 7:07 am
Thanks Dr. Mishra for posting this amazing video of Laparoscopic Heller Myotomy and Dor Fundoplication for the Patient Suffering from Achalasia. I watch your video regularly and i appreciate your work. Thanks.
Dr. Joan Mpupu Roderick
#7
Jun 12th, 2020 11:22 am
Thank you Doctor for your explanation and Demonstration of Laparoscopic Heller Myotomy and Dor Fundoplication for the Patient Suffering from Achalasia. I could think of. Thanks for the great content. Concise and easy to listen. Exactly what I wanted Great information! Thank you for sharing???? Thank you so much for the explanation.
Hafizah Ashraf Hoshni
#8
Jun 12th, 2020 11:30 am
Thank you for a clear, informative, and well-balanced video presentation of Laparoscopic Heller Myotomy and Dor Fundoplication for the Patient Suffering from Achalasia, Dr. R. K. Mishra. You've just confirmed almost everything I've been reading about regarding Achalasia disease. Awesomely informative and perfectly explained! Thank you so much!
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