Laparoscopic Heller’s Myotomy

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Laparoscopic Surgery

Understanding

What It Means?

Heller myotomy laparoscopic is a minimally invasive surgical procedure used to treat achalasia. In this condition, the esophagus has trouble moving food into the stomach due to the failure of the lower esophageal sphincter (LES) to relax. By cutting the muscle at the LES, the procedure allows for easier swallowing and improved esophageal function. Patients seeking the best Heller myotomy in Ahmedabad can significantly benefit from this advanced treatment.

About

Are You a Candidate for Surgery?

Eligibility for Surgery

This surgery is typically recommended for patients diagnosed with achalasia, especially those who:

  • Have Difficulty Swallowing (Dysphagia): Difficulty in swallowing or regurgitation of food.

  • Do Not Respond to Non-Surgical Treatments: Patients who have not found relief from medications or balloon dilation.

  • Good Overall Health: Candidates should be in good health and able to tolerate anesthesia and surgery.
Dr. Jenit Gandhi - Laparoscopic Heller’s Myotomy
Laparoscopic Heller’s Myotomy

Surgical Preparation

Required preparations before surgery

Physical Exam & Imaging

Confirm Diagnosis: Tests like esophageal manometry, barium swallow study, or endoscopy are essential to confirm the diagnosis of achalasia and assess the condition of the esophagus.

Tailored Treatment Plan: A thorough consultation with a specialized surgeon ensures that the most suitable approach is planned for the patient.

Exercise or Breathing Regimens

Patients may be advised to follow specific exercise or breathing routines recommended by their healthcare provider to improve lung function and reduce surgery risks.

Doctor

Lifestyle Changes

It’s important to refrain from smoking, drinking alcohol, and taking medications that could interfere with the surgery, such as blood thinners.

Dietary Instructions

In the days leading up to the surgery, patients may be advised to follow a liquid or soft food diet to reduce the risk of complications.

Laproscopic Hernia Surgery
Your Surgery: What to Expect

The Surgical Procedure

How Laparoscopic Heller’s Myotomy is Performed:

Minimally Invasive Surgery: Several small incisions are made in the abdomen, and a laparoscope (a thin, lighted tube with a camera) is used to guide the surgeon.

Precise Muscle Cuts: The surgeon makes precise cuts to the muscle around the lower esophageal sphincter (LES) to allow it to relax, improving swallowing function.

Fundoplication (if applicable):

In some cases, a partial fundoplication may be performed, where part of the stomach is wrapped around the LES to prevent acid reflux post-surgery.

Procedure Duration:

The Heller myotomy and fundoplication procedure typically lasts between 2 to 3 hours, depending on the complexity of the case. Exercise or Breathing Regimens

Dr. Jenit Gandhi in Surgery
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Your Frequently Asked Questions

Insights from the Best Surgical Gastroenterologist in Gujarat, India

Most patients remain in the hospital for 1 to 2 days post-surgery. When the procedure is performed by the Best Laparoscopic Surgeon in Gujarat, India, patients are closely monitored for pain management, swallowing ability, and overall recovery after the procedure.

Initially, patients follow a liquid diet, gradually progressing to soft foods over the next few weeks. Full recovery of normal eating habits can take several weeks after laparoscopic Heller myotomy.

Patients will need follow-up visits to ensure proper healing and to monitor for complications like reflux or recurrence of swallowing issues. The Best Laparoscopic Surgeon in Gujarat, India will guide you through each step of the recovery and monitoring process.

Patients undergoing laparoscopic Heller myotomy surgery can expect significant relief from symptoms of achalasia, with improved ability to swallow and reduced regurgitation. Long-term outcomes are generally positive, with the majority of patients experiencing a marked improvement in their quality of life. Those who undergo Heller myotomy in Ahmedabad often report lasting results.

Although laparoscopic Heller myotomy is considered safe, potential risks include:

  • Postoperative acid reflux due to the weakening of the LES (Lower Esophageal Sphincter).
  • Injury to surrounding organs, including the stomach or esophagus.
  • Infection or bleeding at the incision sites.
  • Difficulty swallowing that persists or recurs.
  • Rare complications like esophageal perforation or the need for re-operation.

Dr. Jenit Gandhi's expertise in performing advanced laparoscopic surgeries ensures a high success rate with minimal complications. His personalized care and attention to detail, both during the surgery and in post-operative follow-up, help patients achieve the best possible outcomes with improved long-term results. Patients seeking Heller myotomy in Ahmedabad can rely on Dr. Gandhi for expert care in Heller myotomy and fundoplication.