Clinical analysis of umbilical incision treatment for congenital hypertrophic pyloric stenosis

Abstract

Objective To explore the clinical value via comparison of umbilical incision and traditional right upper quadrant abdominal transverse incision of congenital hypertrophic pyloric stenosis. Methods According to the digital table,38 children with congenital hypertrophic pyloric stenosis were divided into two groups, the study group(n= 19)was given umbilical transverse incision,the control group(n=19)was given right upper quadrant abdominal transverse incision.The effect of the two groups were compared. Results In the study group, the operate time was(20.4±1.47)min,incision scar healing time was(5.53±0.51)d,which were significantly lower than(24.00±1.36)min and(7.26±0.45)d of the control group(t=7.835,11.090,all P 0.05).Followed up for 6-8 months, all children had good growth and development,but abdominal scar was obvious in the control group,and the study group had no obvious scar. Conclusion Umbilical incision for the treatment of congenital hypertrophic pyloric stenosis does not prolong the operation time, and has rapid postoperative recovery and better beauty effective than the traditional operation,.It is suitable for primary hospitals with no condition to carry out laparoscopic operation. Key words: Pyloricstenosis, Hypertrophic; Surgical procedures; Cicatrix