METHOD FOR SURGICAL TREATMENT OF OESOPHAGEAL ACHALASIA Russian patent published in 2021 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to abdominal surgery. Abdominal cavity is inspected. It involves mobilization of minor curvature, cardia and stomach bottom with crossing of short vessels. Pedicles of diaphragm, diaphragm and thoracic oesophagus are separated with its reduction into abdominal cavity, with preservation of trunks and main branches of vagus nerves. Anterior longitudinal oesophagocardiomyotomy is performed with dissection of the muscular layer from the submucosal cavity per 1/3 of the oesophageal circumference. Complete anterior fundoplication cuff is formed with an increase in the degree of envelopment in the proximal direction starting from the lower angle of the mobilized stomach, without fixing the formed cuff to the diaphragm feet.

EFFECT: method enables reducing intraoperative injuries, eliminating the development of reflux oesophagitis, completely closing the myotomal wound line and thereby eliminate the possibility of developing complications during the surgical aid and after it, as well as to exclude tension of the oesophagus and possible slipping of the fundoplication cuff in the postoperative period.

1 cl, 4 dwg, 1 ex