Pyloromyotomy spreader to divide hypertorphied
B. A pyloromyotomy spreader is used to divide the hypertrophied circular muscle fibers.
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