Laparoscopic Heller Myotomy
Keyhole division of the lower oesophageal sphincter with partial fundoplication — gold standard for achalasia cardia.
What is Laparoscopic Heller Myotomy?
Laparoscopic Heller Myotomy is the gold standard minimally invasive treatment for achalasia cardia. Through 5 small keyhole incisions, the lower oesophageal sphincter muscle is precisely divided, permanently relieving the obstruction preventing normal swallowing.
Dr. Tagore Mohan Grandhi performs laparoscopic Heller Myotomy. A partial fundoplication prevents post-operative reflux. Over 90% of patients achieve excellent, durable swallowing function with a 2–3 day hospital stay.
Suitable for patients with confirmed achalasia on high-resolution manometry (bird-beak sign), in whom surgery is preferred over dilation or Botox for durable long-term relief.
How the Procedure Works
Diagnostic Confirmation
Manometry, barium swallow, and upper GI endoscopy performed to confirm diagnosis and exclude malignancy before surgery.
Laparoscopic Access
Five keyhole incisions (5–12 mm). Gastro-oesophageal junction visualised under laparoscopic magnification.
Myotomy
LES muscle fibres divided precisely — 6 cm onto the oesophagus and 2 cm onto the stomach. Completeness of myotomy confirmed by mucosal bulge.
Partial Fundoplication
Dor (anterior) or Toupet (posterior) wrap added based on manometry findings to prevent post-myotomy GERD.
Recovery
Liquids day one, soft foods week two. Immediate swallowing improvement noted. Return to normal diet by 2–4 weeks.
Outcomes
Who Needs This Treatment?
- →5 keyhole incisions — significantly less pain than open myotomy
- →90%+ long-term success — most durable treatment for achalasia
- →2–3 day hospital stay versus 3–5 days for open approach
- →Partial fundoplication prevents post-myotomy acid reflux
Laparoscopic Heller Myotomy is one of the most satisfying operations we perform. Patients swallow normally within days after years of struggling. Results are consistently excellent and long-lasting.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Laparoscopic Heller Myotomy Cost in Hyderabad
The cost of Laparoscopic Heller Myotomy in Hyderabad depends on factors such as the severity of achalasia cardia, diagnostic evaluation, surgical requirements, and post-operative care.
For patients requiring standard minimally invasive treatment, the approximate cost of Laparoscopic Heller Myotomy ranges between ₹1,80,000 and ₹3,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Laparoscopic Heller Myotomy | ₹1,80,000 – ₹3,20,000 |
The final cost may vary based on your condition, procedure complexity, hospital stay, and follow-up requirements.
Factors That Influence Laparoscopic Heller Myotomy Cost
The overall cost may depend on:
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Severity of achalasia cardia: The extent of swallowing difficulty and changes in the food pipe may influence treatment planning.
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Diagnostic evaluation: Tests such as endoscopy, imaging, and specialised assessments may contribute to the overall cost.
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Surgical approach: The procedure requirements, anaesthesia, hospital admission, and recovery care can affect the final estimate.
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Post-operative follow-up: Diet progression, consultations, and monitoring after surgery may influence the overall treatment cost.
Is Laparoscopic Heller Myotomy Covered by Insurance?
Coverage depends on your insurance policy, medical necessity, and insurer approval process. Our insurance support team can assist you with checking coverage eligibility, documentation requirements, and cashless approval.
- 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 assess your achalasia symptoms and recommend the most suitable treatment option. He will explain the procedure, expected outcomes, recovery timeline, and provide a personalised cost estimate.
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.