Laparoscopic Heller Myotomy

What is Laparoscopic Heller Myotomy?

A Heller myotomy is a minimally invasive procedure, which is performed in order to treat a condition known as achalasia. Achalasia is a kind of oesophageal motility disorder that makes it difficult for foods and liquids to pass properly into the stomach. The condition occurs when the lower oesophageal sphincter that works to close off the oesophagus from the stomach fails to open up as it should during swallowing. This causes food to back up within the oesophagus.

Some common symptoms of achalasia include difficulty swallowing, as well as pain in the chest, heartburn, weight loss and discomfort after eating.

How does the procedure work?

In order to perform the procedure, Dr Mosai will make small incisions to access the lower oesophageal sphincter, through which surgical instruments and an endoscope will be placed. Dr Mosai will cut the muscle at the lower end of the oesophageal sphincter. This will allow food to pass more easily into the stomach and resolve the uncomfortable symptoms of achalasia.  

What does recovery from the procedure involve?

Because the laparoscopic Heller myotomy procedure is minimally invasive, post-surgery pain is less than traditional open surgery. Patients can expect a quick recovery and minimal scarring.

You will need to avoid strenuous activity and heavy lifting for several weeks. Dr Mosai will advise you when you are able to resume your usual activity.

You will need to see Dr Mosai for a follow-up consultation at one week and six weeks following treatment. At this point, he will check that you have recovered adequately from the surgery.