What is laparoscopic Heller myotomy with Dor fundoplication?
Heller myotomy is a surgical procedure to relieve the obstruction between the esophagus and stomach by dividing the muscle layer from the esophagus down to the stomach. It is used to treat achalasia.
Is laparoscopic Heller myotomy major surgery?
Open Heller myotomy is major surgery with a long recovery period. It also carries a risk of esophagus rupture (perforation) during the surgery.
How long does it take to recover from laparoscopic Heller myotomy?
If you receive the minimally invasive surgical approach, your hospital stay will be approximately two to three days. You may be able to return to work in two to three weeks. If you receive the open surgery, you may have to be away from work for at least a month. You may not do any heavy lifting for at least six weeks.
What is fundoplication surgery used for?
Fundoplication is a surgical procedure used to treat stomach acid reflux. During fundoplication, the top part of your stomach — called the fundus — is folded and sewn around the lower esophageal sphincter, a muscular valve at the bottom of your esophagus.
How long does a Heller myotomy surgery take?
A Heller myotomy will typically take 3 to 4 hours to complete. This procedure is typically performed in the cardiothoracic operating room (OR). Check with your doctor about the details of your procedure.
How do you feel after a Heller myotomy?
Median length of stay was 1 day. After myotomy, the frequency and severity of symptoms of achalasia and reflux significantly decreased. Eighty-eight percent of patients felt their symptoms were greatly improved or resolved, and 90% felt their outcome was satisfying or better.
Can you throw up after Heller myotomy?
You may also find that you are not able to burp or vomit easily after this operation. Long-term side effects are uncommon; occasionally there can be a recurrence of reflux symptoms after a few years, though this is not common.
How successful is Heller myotomy surgery?
The Heller myotomy with a fundoplication is the optimal surgical treatment of achalasia, with effective symptom control in 90 to 97 percent of patients [3,4].
How many patients undergoing laparoscopic Heller myotomy with Toupet fundoplication for achalasia?
Patients: A total of 121 patients undergoing laparoscopic Heller myotomy with Toupet fundoplication (between December 1, 1996, and December 31, 2004) for achalasia were included. Interventions: All patients had preoperative objective documentation of achalasia.
What is a Dor fundoplication for esophageal myotomy?
Further, a Dor fundoplication (a partial wrapping of the stomach around the esophagus to make a low-pressure valve) 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.
What is the myotomy incision length for a Toupet fundoplication?
The myotomy incision was extended 2 cm onto the stomach. A partial (270 degrees ) posterior Toupet fundoplication was performed as an antireflux mechanism in all patients. Main outcome measures: Data on preoperative and postoperative symptoms, manometry, and 24-hour ambulatory pH were prospectively collected.
How is a myotomy performed in the workup of esophageal cancer?
Place the myotomy on the left side of the esophagus. Using the hook cautery, lift the muscle well up off the mucosa and apply the current intermittently to prevent excess heat transfer to the mucosa. A laparoscopic peanut dissector can help develop the plane once the mucosa is identified.
