Image Category: Fundamentals: Cardiomyotomy (Heller Myotomy)

Long Heller’s Cardiomyotomy

Image obtained during Laparoscopic Heller`s Cardiomyotomy.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy. Intracorporeal suturing of mucosal perforation.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy. A mucosal perforation was done during myotomy.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy.

Completed abdominal myotomy

A. Completed abdominal myotomy with Toupet posterior fundoplication. B–D. Completed abdominal myotomy with Dor anterior fundoplication. (Reprinted with permission from Hunter et al, Laparoscopic Heller myotomy and fundoplication for achalasia. Ann Surg 1

Myotomy carried distally by hook Electrocautery

The myotomy being carried distally, using hook electrocautery. Care must be taken to elevate the muscle fibers away from the mucosa before the electrocautery is applied. The myotomy extends about 5 to 6 cm proximal to the gastroesophageal junction and abo

Reset A Lost Password