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Laparoscopic Heller’s Myotomy

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Heller myotomy laparoscopic is a minimally invasive surgical procedure used to treat achalasia, a condition where 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, this procedure allows for easier swallowing and improved esophageal function. Patients seeking the best Heller myotomy in Ahmedabad can significantly benefit from this advanced treatment.

Eligibility for Laparoscopic Heller’s Myotomy

Laparoscopic Heller myotomy surgery is typically recommended for patients diagnosed with achalasia, especially those who:

  • Have difficulty swallowing (dysphagia) or experience regurgitation of food.
  • Do not respond well to non-surgical treatments like medications or balloon dilation.
  • Are in overall good health and can tolerate anesthesia and surgery. This procedure can significantly improve the quality of life for individuals suffering from achalasia, as it restores the ability to swallow effectively.

The procedure, known as Heller myotomy and fundoplication, may also involve wrapping part of the stomach around the LES to prevent acid reflux. Patients looking for Heller myotomy in Ahmedabad should consult with an expert surgeon.

Required Preparations Before Surgery

  • Consultation and Evaluation: A thorough evaluation with tests like an esophageal manometry, barium swallow study, or endoscopy is essential to confirm the diagnosis and assess the condition of the esophagus before Heller myotomy laparoscopic.
  • Dietary Adjustments: In the days leading up to surgery, patients may be required to follow a liquid or soft food diet to prevent complications.
  • Preoperative Instructions: Avoiding smoking, alcohol, and certain medications that may interfere with the surgery is critical. Specific medications, such as blood thinners, may need to be stopped before Heller myotomy surgery.
  • Physical Preparation: Patients should follow any specific exercise or breathing regimens as advised by their healthcare provider to improve lung function and reduce surgery risks.

The Surgical Procedure

Laparoscopic Heller myotomy is performed using several small incisions in the abdomen. A laparoscope (a thin, lighted tube with a camera) is inserted to guide the surgeon in making precise cuts to the muscle around the lower esophageal sphincter (LES), allowing it to relax. In some cases, a partial fundoplication may be performed to reduce the risk of postoperative acid reflux. The entire Heller myotomy and fundoplication procedure typically lasts 2 to 3 hours.

What to Expect After Surgery

  • Immediate Recovery: Most patients remain in the hospital for 1 to 2 days post-surgery. They will be monitored closely for pain management, swallowing ability, and overall recovery after Heller myotomy.
  • Diet: 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 Heller myotomy laparoscopic.
  • Follow-up Care: Patients will need follow-up visits to ensure proper healing and to monitor for complications like reflux or recurrence of swallowing issues.

Expected Results from Laparoscopic Heller’s Myotomy

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.

Potential Risks and Complications

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

  • Postoperative acid reflux due to the weakening of the LES.
  • 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.

Why Consult Dr. Jenit Gandhi for Laparoscopic Heller’s Myotomy?

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.