Results 181 to 190 of about 3,039 (222)
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2014
The gold standard for achalasia is surgical correction via laparoscopic Heller myotomy with a partial fundoplication. The goal of this technical report is to illustrate our preferred approach to patients with achalasia and to provide the reader with a detailed description of our operative technique, its rationale, and our pre and post-operative ...
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The gold standard for achalasia is surgical correction via laparoscopic Heller myotomy with a partial fundoplication. The goal of this technical report is to illustrate our preferred approach to patients with achalasia and to provide the reader with a detailed description of our operative technique, its rationale, and our pre and post-operative ...
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Thoracoscopic hellers myotomy for oesophageal achalasia
Irish Journal of Medical Science, 1999Surgical myotomy is the mainstay of treatment for oesophageal achalasia. Minimally invasive surgical techniques, if feasible, reduce patient morbidity and mortality. In this study we review our experience of thoracoscopic Heller's myotomy. Thoracoscopic myotomy was undertaken in 9 patients (male = 3; female = 6, mean age = 37).
S, Rea, C J, Kelly, P J, Broe
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Transcervical Heller Myotomy Using Flexible Endoscopy
Journal of Gastrointestinal Surgery, 2010Esophageal achalasia is most commonly treated by laparoscopic myotomy. Transesophageal approaches using flexible endoscopy have recently been described. We hypothesized that using techniques and flexible instruments from our NOTES experience through a small cervical incision would be a safer and less traumatic route for esophageal myotomy.
Georg O, Spaun +5 more
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Heller Myotomy versus Heller Myotomy with Dor Fundoplication for Achalasia
2017This chapter provides a summary of the management of patients with achalasia and how the addition of a fundoplication can affect outcomes. The primary question asked is could the addition of a Dor fundoplication to a Heller myotomy decrease the incidence of pathologic gastroesophageal reflux?
Jerald Borgella +2 more
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Operative Techniques in General Surgery, 2004
Leonardo Villegas, Robert Rege
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Leonardo Villegas, Robert Rege
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Robotic-Assisted Heller Myotomy
2007Laparoscopic Heller myotomy (LHM) has become the standard treatment option for achalasia. Evidence-based medicine has shown surgical treatment to be the most effective option due to the long-term improvement of symptoms following surgery [5, 6, 13, 20–23]. However, other treatment options are still practiced either due to unavailable surgical expertise
Yoav Mintz, Santiago Horgan
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Local epinephrine facilitates laparoscopic Heller myotomy
Surgical Endoscopy, 1998Incomplete myotomy and mucosal perforation are the most common technical complications of laparoscopic esophageal myotomy. The muscle layers of the lower esophagus are infiltrated with a 1:100,000 epinephrine solution using a thin needle. Gentle pressure is applied with a peanut sponge to diminish the edema produced by the injections.
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Minimally Invasive Heller Myotomy
2020A Heller myotomy is performed when medical management has failed to improve the symptomatology of esophageal achalasia. It involves incising the smooth muscular layer of esophagus, allowing the lower esophageal sphincter to relax. The chapter prescribes a minimally invasive approach.
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Laparoscopic Cardiomyotomy (Heller Myotomy)
1999Laparoscopic cardiomyotomy (Heller myotomy) is performed for achalasia. The diagnostic workup must exclude several diseases that can mimic achalasia (malignant obstruction, gastroesophageal reflux with stricture formation, diffuse esophageal spasm, and nutcracker esophagus), as treatment of these is quite different.
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