Modification of Livaditis' myotomy for long gap oesophageal atresia

A modification of Livaditis' myotomy to bridge a long gap oesophageal atresia is presented. The wide hypertrophic oral segment is lengthened with several horizontal incisions through the muscle layer. These incisions are made in a network of several rows without perforating the mucosa. The thick, broad oral segment becomes longer and narrower and fits better for anastomosis with the smaller distal segment. Pocket formations and diverticula can thus be avoided.