Laparoscopic Achalasia Cardia Surgery Explained

Heller Myotomy

A Heller myotomy is a laparoscopic achalasia cardia surgery. Achalasia is a disorder that prevents the lower oesophageal sphincter (LES) from relaxing and allowing food and liquid to pass into the stomach.

Heller myotomy surgery is proven to be effective and provide long term relief for most patients who have achalasia cardia.

Initially, the procedure was open surgery, performed either through the chest (thoracotomy) or through the abdomen (laparotomy). Today, the procedure has transformed into a minimally invasive surgery.

Heller Myotomy Procedure

General anaesthesia will be injected before the surgery begins. The surgeon will then make several small incisions in your belly to insert the laparoscopic tools and make a lengthwise cut on the outside muscle layers of the oesophagus. The cut starts above the LES and ends down a little distance into the stomach.

After an achalasia cardia laparoscopy surgery, you are likely to experience acid reflux. Your doctor will perform any of the following:

• Dor (anterior) fundoplication: It is the most common anti-reflux surgery. The procedure involves laying the upper part of the stomach (fundus) over the front of the oesophagus and stitching it in place. Upon stomach contraction, a seal is made at the oesophagus.
• Toupet (posterior) fundoplication: This procedure stitches the fundus across the back of the oesophagus.

Recovery

After a Heller myotomy, you will need to stay in the hospital for approximately two to three days. Your doctor will prescribe the intake of clear liquids the same day after the surgery and you are likely to begin a soft food diet 2 to 3 days later. You may return to a regular diet within a month of your surgery. You will be able to return to your work in two to three weeks.