Recent robotic laparoscopic series have attempted a myotomy at the 5 o'clock position on the esophagus away from the valve.
12.
The robotic lateral esophageal myotomy preserves the esophageal valve and does not result in reflux, thereby obviating the need for a fundoplication.
13.
Food can easily pass downward after the myotomy has cut through the lower oesophageal sphincter, but stomach acids can also easily reflux upward.
14.
In 1839, Dieffenbach performed the first successful myotomy for the treatment of strabismus on a seven-year-old boy with esotropia.
15.
However, some will eventually need pneumatic dilation, repeat myotomy ( usually performed as an open procedure the second time around ), or oesophagectomy.
16.
Smith underwent a surgical procedure called a Heller myotomy which helped somewhat, but he still has dietary restrictions that force him to eat very slowly.
17.
Surgical procedures of the inferior oblique include : loosening ( also known as recession see Strabismus surgery ), myectomy, marginal myotomy, and denervation and extirpation.
18.
In genioglossus advancement and hyoid myotomy ( GAHM ), a genioglossus advancement is performed at the same time as either a hyo-mandibular or hyo-thyroid suspension.
19.
Achalasia is characterized by Botox may be used in some cases, but more permanent relief is brought by esophageal dilatation and surgical cleaving of the muscle ( Heller myotomy ).
20.
The most recommended fundoplication to complement Heller's myotomy is Dor's fundoplication, which consists of a 180-to 200-degree anterior wrap around the esophagus.
