Surgical Managment

Surgical Procedure Date Performed General Description and Client’s Response Nursing Responsibilities
Purpose
Esophagomyotomy Date: March 19, 2021 Heller myotomy works ● This released Prior:
by making a series of certain muscles ● Verify
small incisions in in order to allow physician’s order
stiffened muscle tissue food and liquids .
in your lower esophagus. to be easily and ● Identify the
This helps relieve comfortably client.
pressure on the ring of transferred from ● Provide privacy
muscles that control the the mouth, for the patient,
movement of food and through the and explain the
liquids into your esophagus, and entire procedure.
to the stomach. ● Do not take any
stomach (lower
esophageal sphincter). medications that
● Patient’s thin the blood,
As a "gold standard"
symptoms were such as aspirin or
treatment for achalasia,
relieved. ibuprofen, one
most patients who have
Heller myotomy week prior to
● No side effects surgery
experience permanent experienced.
symptom relief. ● Make sure that
the patient is on a
Laparoscopic Heller liquid diet before
myotomy has proved an undergoing
effective treatment for surgery.
esophageal achalasia, with
good or excellent results in During:
90% of patients. ● Place the patient
in a semi
 fowler’s position
to avoid the
gastric juice from
overflowing and
to prevent
irritation of the
esophagus and
the wound.

After:
● Monitor any
signs of
infection.
● Monitor VS
● Monitor I and O
● Document
pertinent data.
● Instruct patient to
avoid spicy
foods, caffeine
and any
carbonated
drinks.
● Instruct patient to
sleep on the
opposite side of
the incision site.
● Instruct patient to
avoid lifting for
 two to four
weeks to allow
the incisions in
the abdomen to
heal.
● Health Teaching:
Teach patient
about wound
dressing and vital
signs taking.

● Evaluate client’s
knowledge about
condition.

Reference:

Farlex. (n.d.). esophagomyotomy. The Free Dictionary. https://medical-dictionary.thefreedictionary.com/esophagomyotomy.

Heller Myotomy. (n.d.). Retrieved from https://medstarwashington.org/our-services/thoracic-surgery/treatments/heller-myotomy/
Esophagus Myotomy. (n.d.). Retrieved from https://www.sciencedirect.com/topics/medicine-and-dentistry/esophagus-myotomy