Method and instruments for treating GERD
AssigneeMilux Holding SA
InventorPeter Forsell
Life of this patent
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Abstract
The invention relates surgical abdominal methods of treating a reflux disease in a patient by implanting a movement restriction device that, when implanted in a patient, restricts the movement of the stomach notch in relation to the diaphragm muscle preventing the cardia to slide up through the diaphragm hiatus opening. Also disclosed is a laparoscopic instrument for providing a movement restriction device to be invaginated in the stomach fundus wall of a human patient to treat reflux disease.
Claims21
A method of treating a reflux disease in a patient by implanting a movement restriction device that, when implanted in a patient, restricts the movement of the stomach notch in relation to the diaphragm muscle, thereby preventing the cardia from sliding up through the diaphragm hiatus opening, the method comprising the steps of:
- inserting a needle or a tube like instrument into the abdomen of the patient's body;
- using the needle or tube like instrument to fill the patient's abdomen with gas;
- placing at least two laparoscopic trocars in the patient's body;
- inserting a camera through one of the laparoscopic trocars into the patient's abdomen, inserting at least one dissecting tool through one of said at least two laparoscopic trocars;
- dissecting an area of the stomach;
- introducing the movement restriction device into the abdominal cavity;
- placing the movement restriction device on the outside of the stomach fundus wall;
- creating a pouch in the stomach fundus wall for the movement restriction device;
- and
- in-vaginating the movement restriction device in the pouch by providing sutures or staples to the stomach fundus wall, thereby preventing the cardia from sliding through the patient's diaphragm opening into the patient's thorax, so as to maintain the pressure support from the patient's abdomen that supports the patient's cardia sphincter muscle.
A method of treating a reflux disease in a patient by implanting a movement restriction device that, when implanted in a patient, restricts the movement of the stomach notch in relation to the diaphragm muscle preventing the cardia to slide up through the diaphragm hiatus opening, the method comprising the steps of:
- inserting a needle or a tube like instrument into the abdomen of the patient's body;
- using the needle or tube like instrument to fill the patient's abdomen with gas;
- placing at least two laparoscopic trocars in the patient's body;
- inserting a camera through one of the laparoscopic trocars into the patient's abdomen;
- inserting at least one dissecting tool through one of said at least two laparoscopic trocars;
- dissecting an area of the stomach;
- creating a hole in the stomach;
- introducing the movement restriction a device into the abdominal cavity;
- introducing the movement restriction device through the hole in the stomach and into the stomach;
- placing the device on the inside of the stomach fundus wall;
- creating a pouch on the outside of the stomach cavity for the device placed on the inside of the stomach fundus wall, and
- in-vaginating the movement restriction device in the pouch by providing sutures or staples to the stomach fundus wall, preventing the cardia from sliding through the patient's diaphragm opening into the patient's thorax, so as to maintain the supporting pressure from the patient's abdomen that supports the patient's cardia sphincter muscle.
Dependencies are inferred from the claim text.