Heller Myotomy (Open)
Open surgical division of the lower oesophageal sphincter — definitive treatment for achalasia cardia.
What is Heller Myotomy (Open)?
Achalasia Cardia is a rare oesophageal motility disorder where the lower oesophageal sphincter (LES) fails to relax during swallowing, causing food to accumulate in the oesophagus. Heller Myotomy precisely divides the LES muscle fibres, permanently relieving this obstruction.
Dr. Tagore Mohan Grandhi performs Heller Myotomy. A partial fundoplication is added to prevent post-operative acid reflux. The open approach provides direct control for complex or revision cases with over 90% long-term success.
Suitable for patients with confirmed achalasia on high-resolution manometry (bird-beak sign on barium swallow), particularly complex cases, previous interventions, or where a laparoscopic approach is not possible.
How the Procedure Works
Pre-operative Confirmation
High-resolution manometry confirms absent peristalsis. Barium swallow shows bird-beak sign. Endoscopy excludes pseudoachalasia or malignancy.
Surgical Access
Open approach through upper midline incision. Full exposure of the gastro-oesophageal junction achieved under direct vision.
Myotomy
LES muscle fibres divided longitudinally — 6 cm on the oesophagus and 2 cm onto the stomach — under direct vision. Mucosal integrity confirmed.
Partial Fundoplication
Dor (anterior) or Toupet (posterior) partial fundoplication added to restore the anti-reflux mechanism without impairing the myotomy benefit.
Recovery
Liquid diet from day two. Dietary advancement over 4–6 weeks. Immediate swallowing improvement noted from day of surgery.
Outcomes
Who Needs This Treatment?
- →Direct tactile control — ideal for complex, recurrent, or revision achalasia cases
- →90%+ long-term swallowing relief — most durable achalasia treatment
- →Partial fundoplication prevents post-operative acid reflux
- →Permanent relief — no repeat procedures in the vast majority of patients
Heller Myotomy gives achalasia patients their swallowing and quality of life back. Most are amazed by how quickly food passes normally after years of struggling.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Heller Myotomy (Open) Cost in Hyderabad
The cost of Open Heller Myotomy in Hyderabad depends on factors such as the severity of achalasia cardia, previous treatments or surgeries, complexity of the procedure, and post-operative care requirements.
For patients requiring an open surgical approach, the approximate cost of Heller Myotomy (Open) ranges between ₹1,50,000 and ₹2,60,000.
| Procedure | Approximate Cost Range |
|---|---|
| Heller Myotomy (Open) | ₹1,50,000 – ₹2,60,000 |
The final cost may vary depending on your individual condition, surgical findings, hospital stay, and additional medical requirements.
Factors That Influence Heller Myotomy Cost
The overall cost may depend on:
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Severity of achalasia: The stage of the condition, swallowing difficulties, and effect on food passage may influence treatment planning.
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Previous procedures: Patients with previous interventions may require additional evaluation and specialised surgical planning.
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Pre-operative assessment: Diagnostic tests, imaging, endoscopy, and medical evaluations may affect the overall cost.
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Hospital and recovery care: Admission duration, medications, monitoring, and follow-up care can influence the final estimate.
Is Heller Myotomy Covered by Insurance?
Heller Myotomy may be covered by health insurance when performed for a medically necessary condition. Coverage depends on your insurance policy and insurer approval.
Our insurance support team can help with documentation, policy checks, and cashless approval procedures.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will evaluate your swallowing symptoms, diagnostic findings, and overall health to determine the appropriate treatment approach. He will explain the procedure, recovery process, and provide an estimated cost based on your individual condition.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.