What is Achalasia
Achalasia is an oesophageal functional disease characterised by a loss of coordinated peristalsis and a lack of relaxation of the lower oesophageal sphincter (LES). The lack of the myenteric neural plexus is hypothesised to cause this. Dysphagia and chest discomfort are the most common presenting symptoms. On upper gastrointestinal investigation, a “bird’s beak” deformity is the characteristic diagnostic appearance. The laparoscopic Heller myotomy is one of the many therapeutic options available, with a 5-year symptom resolution rate of 77-100 percent and a 15-year symptom resolution rate of 75 percent, says Dr. Sandeep Sabnis, a well-known laparoscopic surgeon in Nashik. It has a 6.3 percent chance of causing problems and a 0.1 percent chance of causing death.
Deep venous thrombosis prophylaxis is provided to patients in the form of successive compression stockings and subcutaneous heparin or low-molecular weight heparin. Antibiotics may be prescribed as a preventative measure, and foley catheterisation and nasogastric tube decompression are indicated.
The laparoscopic surgeon may stand between the patient’s legs in a split-leg arrangement, or on the patient’s left side with the assistant on the right. At the head of the bed, there are laparoscopic monitors.
What is Heller Myotomy
The Heller myotomy is a minimally invasive (laparoscopic) surgical method for treating achalasia. This procedure is essentially a laparoscopic esophagomyotomy, which includes severing the oesophageal sphincter muscle.
According to the best laparoscopic surgeon in Nashik, the operation has a very high success rate and is usually permanent. A small percentage of patients may require additional care.
Several small incisions are made during the surgery, and a small scope is placed through which little surgical instruments are passed. The scope is attached to a video camera, which transmits a magnified image to a monitor, allowing the gastroenterology surgeon in Nashik to inspect the anatomy and manipulate the instruments.
The Heller myotomy has the following advantages:
- Post-operative pain is reduced
- A one or two day hospital stay versus a week or more with a traditional open surgery
- Surgery recovery time is reduced
- Return to work and normal activities more quickly
After a Heller myotomy, many individuals develop gastroesophageal reflux disease (GERD). A Nissen fundoplication may be performed at the same time as the oesophageal sphincter muscle is severed to prevent the development of the condition where the contents of the stomach reflux (back up) into the oesophagus. Laparoscopic surgery is also used for this operation.Tags: laparoscopic surgeon in Nashik