CARDIOMYOTHOMIC SURGERY OF HELLE BY MINIMUM ACCESS
Cardiomyotomy or Heller's intervention is a palliative operation that removes the obstacle created by the relaxation defect of the lower esophageal sphincter in achalasia. Its results are superior to those of pneumatic dilation. Abdominal access, performed by laparoscopy, is the current gold standard procedure. The myotomy must meet precise criteria of depth and extension. The main risk is damage to the mucosa. Cardiac dissection may be limited and the need to use an antireflux technique is controversial.
Hospitalization (1 day)
Hospitalization in a private room (nursing care and meals included)
Attention of the attending physician for hospitalized patient (medical round visit)
Initial evaluation and preparation of clinical history
Other Medical Checkups by Specialists
Re-checkup by specialist.
Blood group ABO and RH
Quantitative Serology (VDRL)
Rapid antibody test against HIV-1/2
Simple chest x-ray
Diagnostic Gastroenterological Investigations
Conventional esophageal manometry
Diagnostic ultrasound of the liver and bile ducts
Radiography of esophagus, stomach and duodenum under TV screen
Surgery. General Anesthesia
Heller's seromyotomy with valvuloplasty (includes transoperative endoscopy)
Medical report conclusions and recommendations
Note: Accommodation for the patient's companion 40.00 CUC per day with meals included.
Medications, disposable material, blood, derivatives or their substitutes and artificial support materials are excluded.
The medical programs are designed to perform the preoperative study on an outpatient basis. If the patient prefers to be hospitalized, the preoperative stay increases in two or three days depending on the scheduled surgery.
TREATMENTS RELATED TO MINIMUM ACCESS SURGERIES
Cardiomyotomy of Hélle
Treatment of Esophageal Acalasia.
Minimal Access Surgeries