Open Heller Myotomy: Procedure, Benefits, and Recovery

Open Heller Myotomy is a surgical procedure that is primarily used to treat achalasia, a condition that affects the esophagus and makes it difficult for food and liquids to pass into the stomach.

This procedure involves cutting the muscles at the lower end of the esophagus to help improve swallowing and reduce symptoms of achalasia.

Open Heller Myotomy is considered a highly effective treatment for achalasia and can significantly improve a patient's quality of life.

If you have been diagnosed with achalasia and are considering treatment options, Open Heller Myotomy may be the best option for you.

Indications of Open Heller Myotomy

Open Heller Myotomy is typically recommended for patients who have been diagnosed with achalasia, a rare disorder that affects the muscles of the esophagus and prevents food and liquids from passing into the stomach.

Symptoms of achalasia can include difficulty swallowing, chest pain, regurgitation of food, and weight loss.

  • Difficulty swallowing
  • Chest pain
  • Regurgitation of food
  • Weight loss

If you are experiencing any of these symptoms, it is important to see a healthcare provider for an evaluation.

They can determine if Open Heller Myotomy is the right treatment option for you based on your specific condition and medical history.

Steps involved in Open Heller Myotomy Surgery

Open Heller Myotomy surgery typically involves making an incision in the abdomen to access the lower part of the esophagus.

The surgeon then cuts the muscles at the lower end of the esophagus to help improve swallowing and reduce symptoms of achalasia.

The surgery is usually performed under general anesthesia, and most patients are able to go home within a few days after the procedure. Recovery time can vary, but most patients are able to resume normal activities within a few weeks.

Who will perform Open Heller Myotomy Surgery?

Open Heller Myotomy surgery is typically performed by a thoracic surgeon who specializes in procedures involving the chest and esophagus.

These surgeons have extensive training and experience in performing complex surgeries like Open Heller Myotomy and are skilled in managing complications that may arise during the procedure.

It is important to choose a surgeon who has experience in performing Open Heller Myotomy and who you feel comfortable with. Your healthcare provider can help you find a qualified surgeon who can provide the best care for your condition.

Preparing for Open Heller Myotomy Surgery

Before undergoing Open Heller Myotomy surgery, your healthcare provider will provide you with specific instructions on how to prepare for the procedure.

This may include fasting for a certain period of time before the surgery, stopping certain medications, and undergoing preoperative tests to assess your overall health.

It is important to follow your healthcare provider's instructions closely to ensure the best possible outcome from the surgery.

If you have any questions or concerns about the procedure, be sure to discuss them with your healthcare provider before the surgery date.

Recovery after Open Heller Myotomy surgery

Recovery after Open Heller Myotomy surgery can vary depending on the individual patient and the extent of the procedure.

Most patients are able to go home within a few days after the surgery and can resume normal activities within a few weeks.

Your healthcare provider will provide you with specific instructions on how to care for yourself after the surgery, including how to manage pain, when to resume eating solid foods, and when to follow up with your healthcare provider for a postoperative visit.

Before and After Open Heller Myotomy surgery

Before undergoing Open Heller Myotomy surgery, it is important to discuss your expectations and concerns with your healthcare provider. They can provide you with information on what to expect during the surgery and how to prepare for the recovery period.

  • Discuss expectations and concerns with healthcare provider
  • Understand what to expect during surgery
  • Prepare for the recovery period

After the surgery, it is important to follow your healthcare provider's instructions closely to ensure a successful recovery. This may include taking medications as prescribed, attending follow-up appointments, and making any necessary lifestyle changes to support your healing process.

By following your healthcare provider's recommendations and staying informed about your condition, you can help ensure the best possible outcome from Open Heller Myotomy surgery.

 

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Frequently Asked Questions

How long does it take to recover from an open Heller myotomy?

Recovery from an open Heller myotomy usually takes about 4 to 6 weeks. You may need to stay in the hospital for a few days after the surgery to ensure proper healing.

Will I experience difficulty swallowing after surgery?

You may experience temporary difficulty swallowing after surgery, but this typically improves as you recover. If you have concerns, discuss them with your healthcare team.

What are the long-term effects of the procedure?

The long-term effects of the procedure may include reduced symptoms, improved quality of life, and better overall health in the long run. It is essential to follow up with your healthcare provider regularly to monitor your progress.

Are there any lifestyle changes required after the surgery?

After surgery, you may need to make lifestyle changes such as following a specific diet, incorporating regular exercise, and attending follow-up appointments with your healthcare provider.

What are the risks of complications like reflux after the surgery?

After surgery, there can be risks of complications like reflux, where stomach acid flows back into the esophagus causing heartburn and other symptoms. Your healthcare provider will discuss these risks with you before the surgery.

Can I eat normally after the surgery?

After surgery, your healthcare provider will provide specific instructions on when and what you can eat. Follow their guidance to ensure proper healing.

Will I be able to burp or vomit after the procedure?

You may not be able to burp or vomit normally after the procedure due to the changes in your stomach anatomy.

How effective is the Heller myotomy in treating achalasia?

The Heller myotomy is highly effective in treating achalasia, providing long-term relief of symptoms in the majority of patients.

How is pain managed after the surgery?

After surgery, your healthcare team will provide pain relief medication to keep you comfortable. They will adjust the dosage based on your pain levels and recovery progress.

What is the likelihood of needing further treatment after this procedure?

The likelihood of needing further treatment after this procedure varies depending on your individual situation. Your healthcare provider will discuss this with you based on your response to the treatment.