A Comprehensive Overview of MALS Surgery

Do you experience frequent stomach pains, nausea, and vomiting? They could be symptoms of Median Arcuate Ligament Syndrome (MALS). MALS happens when the celiac arterial artery gets compressed due to the median arcuate ligament, which reduces blood flow into abdominal organs. Although rare, MALS can be painful and uncomfortable for those affected.

MALS surgery may relieve symptoms of the celiac compressor by dislodging the artery in the celiac that has been compressed. Surgery can be a daunting experience, and patients must know the procedure before, during, and afterward.

Exploring MALS Surgery

This post will review the steps involved with MALS surgery – pre-op preparation, the procedure itself, and post-op recovery.

Before the Procedure

  • Consultation with a Surgeon: The first stage is to arrange a consultation with a specialist surgeon trained in the procedure to begin MALS treatment. During the consultation, they will examine your symptoms and medical history before ordering imaging tests to confirm the MALS diagnosis. If they find that you’re a candidate for MALS surgery, they will review this procedure’s possible risks and benefits.

Another option you can discuss with your surgeon is the celiac ganglion nerve block procedure. Ask questions about your options and let your surgeon help you with your decision. 

  • The Preparation for your Surgery: Once you decide to undergo MALS surgery, the surgeon will provide instructions. It may include fasting adequately before surgery, stopping certain medications, or avoiding certain foods or drinks. Before proceeding, your surgeon specializing in surgery for abdominal and gastrointestinal disorders can suggest pre-operative testing such as blood work and an electrocardiogram.

During the Procedure

  • Anesthesia: MALS procedure is performed under general anesthesia, which means you’ll remain asleep. An anesthesiologist will be on hand during the procedure to observe vital signs and ensure you remain comfortable. 
  • Cut: The surgeon you consult with will cut a small incision to access the celiac artery, which has become compressed during MALS. This could be vertically or horizontally, depending on their preferred placement and desired outcome. You can learn more about MALS treatment by reading articles about it online.
  • Ligament Release: After the procedure, your surgeon will release the medial arcuate ligament. It will then compress the celiac artery, limiting blood flow to organs in your abdomen. To complete this release process, they can reduce or remove a small portion of it before reopening it for the proper functioning of the celiac artery and better blood flow to the internal organs of the abdomen.
  • Closing: Once the ligament is released, a surgeon will close the wound using staples or sutures and insert the drain in a small area to catch any fluid accumulating.

After the Procedure

  • Hospital Stay: You will be carefully monitored. Any discomfort or pain caused can be addressed with medication for pain. You will be advised to get up and move around as soon as possible to prevent issues such as blood clots.
  • Following Surgery: You should take it easy and check up with your surgeon regularly to ensure you’re recuperating correctly. Avoid heavy or physical lifting until you are instructed to do so may be recommended.
  • Long-Term Outlook: Most patients who undergo MALS surgery feel relief in their symptoms; However, any surgery could have risks, such as bleeding or infection, or organ damage, that must discuss with your physician before beginning any procedure.


MALS surgery may provide relief to patients suffering from median arcuate ligament disorder. Although the procedure has risks, many find its benefits exceed the risks. If you’re considering the MALS procedure as a method of relief, talk to an expert in the field to get the best guidance and advice before making your choice.