Lap Cardiomyotomy Treatment in Pune
Achalasia(Esophageal achalasia) is a condition where the smooth muscle fibres fail to relax, thus causing the lower oesophageal sphincter(the valve between the oesophagus and stomach) to be closed.
This hinders the passage of food and liquids into the stomach and can cause severe harm to the quality of life. Laparoscopic myotomy is a minimally invasive procedure where the tight lower oesophageal sphincter is opened by carrying out a myotomy. This involves cutting the muscle of the lower part of the oesophageal and upper stomach to lessen the difficulty in swallowing(dysphagia).
Along with this a Dor fundoplication or partial wrapping of the stomach around the esophagus to make a low-pressure valve is also done so as to prevent reflux from the stomach into the esophagus after the surgery.
This procedure provides great symptomatic relief. Treatment with Botox injections or balloon dilation of the affected part of the esophagus can be tried but surgery is often the only lasting solution. The operation is carried out under general anesthesia, small keyhole incisions are made on the abdomen and laparoscopic instruments are inserted. The lower esophagus is then approached and a lengthwise incision is made on its muscle layer. Sufficient care is taken so as to cut only the muscle layer and the inner lining of the esophagus is left intact. After this, a fundoplication is performed to minimize complications of acid reflux, Food intake becomes comfortable soon after surgery and patients can have a normal diet.