This photo show the disdection during Heller myotomy. The left shows both circular and longitudinal fibers visualized and the right show this section of the myotomy completed
A. The myotomy is created with a laparoscopic myotome. Make this incision relatively shallow. Traction is applied by a grasper through the righthand port.
The development of laparoscopic surgery has provided minimally invasive surgeons with advanced laparoscopic instrumentation and high definition imaging. The resulting surgical expertise and technology has now been extended to endolumenal surgery.
Stay sutures have been placed and tied. Two enterotomies have been made and the stapler is inserted into the two enterotomies. The bowel and gallbladder must be carefully positioned to fully utilize the entire length of the stapling device (by pulling the
Direct endoscopic ligation of internal hemorrhoids. A. The endoscopist positions the ligator in contact with the hemorrhoid about 1 cm above he dentate line. B. Endoscopic suction draws the hemorrhoid into the banding cylinder. C. The elastic O-ring is ej