Description

Achalasia is a rare but debilitating esophageal motility disorder in which the lower esophageal sphincter (LES) fails to relax and the esophageal muscles lose their coordinated peristalsis. Patients experience progressive dysphagia, chest pain, regurgitation, and significant impairment in quality of life. At World Laparoscopy Hospital (WLH), one of the world’s leading centers for advanced minimal access surgery, the management of achalasia has reached new heights with the gold-standard treatment: Laparoscopic Heller Myotomy combined with Dor Fundoplication. Understanding Achalasia Achalasia occurs due to degeneration of nerve cells in the esophageal wall, leading to failure of proper opening of the LES. As a result, swallowed food gets stuck in the esophagus, causing: Difficulty swallowing both liquids and solids Chest discomfort or pain Nocturnal coughing or regurgitation Weight loss Risk of esophageal dilation (mega-esophagus) Because medication and endoscopic treatments offer only temporary relief, surgery remains the most definitive and durable solution. Laparoscopic Heller Myotomy: The Gold-Standard Surgical Treatment Laparoscopic Heller Myotomy (LHM) is a minimally invasive procedure designed to permanently relieve the obstruction at the gastroesophageal junction. Key Steps of the Procedure Precise Cutting of the LES Muscle Layers Using advanced laparoscopic instruments, the surgeon carefully divides the tight circular muscle fibers of the LES without injuring the mucosa. This allows food to pass smoothly into the stomach. Minimally Invasive Access The entire procedure is performed through 5-mm ports, ensuring less pain, minimal scarring, and faster recovery. Enhanced Safety & Precision High-definition 4K and 3D laparoscopy, along with micro-dissection tools, allow WLH surgeons to perform the myotomy with exceptional precision. Why Add Dor Fundoplication? After the myotomy, the LES becomes loose, which can predispose the patient to acid reflux. To prevent postoperative gastroesophageal reflux disease (GERD), Dor Fundoplication is performed. Benefits of Dor Fundoplication Creates a protective anterior 180° wrap around the esophagus Prevents acid reflux while preserving the ability to swallow Shields the exposed esophageal mucosa Offers long-term functional stability At WLH, surgeons masterfully integrate Dor Fundoplication with the myotomy, providing optimal outcomes and patient satisfaction. Why World Laparoscopy Hospital is the Best Choice World Laparoscopy Hospital is globally renowned for excellence in minimal access surgery, offering unparalleled expertise in advanced gastrointestinal procedures. What Sets WLH Apart ✔ Expert Surgeons Trained in the most advanced laparoscopic and robotic techniques under the leadership of Prof. Dr. R. K. Mishra, one of the world’s most respected laparoscopic surgeons. ✔ State-of-the-Art Technology 4K/3D laparoscopy High-precision energy devices Robotic assistance (when indicated) ✔ Comprehensive Patient Care From diagnosis to postoperative rehabilitation, WLH ensures holistic and personalized care. ✔ International Standards WLH follows global surgical protocols, ensuring safety, quality, and evidence-based practice. ✔ Training Center for Surgeons Worldwide The procedure is not only performed but also taught at WLH as part of its advanced laparoscopic fellowship programs, attracting surgeons from over 100 countries. Recovery After LHM With Dor Fundoplication at WLH Patients typically experience: Minimal postoperative pain Early return to oral liquids Discharge within 24–48 hours Return to normal activity within 1 week Long-term relief from dysphagia Success rates consistently exceed 90–95%, making this combination procedure one of the most reliable treatments for achalasia. Conclusion Laparoscopic Heller Myotomy with Dor Fundoplication is the most effective and durable surgical treatment for achalasia. At World Laparoscopy Hospital, this procedure is performed with unmatched precision, advanced technology, and world-class expertise. With excellent success rates and a patient-centered approach, WLH continues to lead the world in the management of complex esophageal disorders.