Abstract
Background-Purpose: The study aimed to see the outcome of Double Incomplete Pyloromyotomy as new technique for surgical management of infantile hypertrophic pyloric stenosis (IHPS). Methods: This study was conducted in pediatric surgery unite, Zagazig University Hospital, Egypt. Fifteen patients were included in this study (11 male and 4 female) with IHPS from January 2012 to January 2013. Under general anesthesia, two longitudinal separated incisions at different planes as pyloromyotomy. Results: Postoperative vomiting and weight gain were recorded. Follow up period was 3 months. Vomiting improved within first 48 hours then stopped after that. Weight gain significantly increased after theoperation when compared preoperatively. Conclusion: Double Incomplete Pyloromyotomy is a new, safe and effective procedure for treatment of infantile hypertrophic pyloric stenosis.
Highlights
Infantile hypertrophic pyloric stenosis (IHPS) continues to be a common pediatric surgical condition, with an Ramstedt’s pyloromyotomy remains the standard surgical treatment with an excellent outcome [7]-[10]
The aim of the present study was to see the outcome of surgical management of infantile hypertrophic pyloric stenosis (IHPS) by Double Incomplete Pyloromyotomy
Projactile non bilious vomiting and acid-base disturbance were the main presentation in addition to weight loss and constipation
Summary
Infantile hypertrophic pyloric stenosis (IHPS) continues to be a common pediatric surgical condition, with an Ramstedt’s pyloromyotomy remains the standard surgical treatment with an excellent outcome [7]-[10]. An alternative technique like a double-Y pyloromyotomy offers good results for management of this condition [11]. The aim of the present study was to see the outcome of surgical management of IHPS by Double Incomplete Pyloromyotomy. Purpose: The study aimed to see the outcome of Double Incomplete Pyloromyotomy as new technique for surgical management of infantile hypertrophic pyloric stenosis (IHPS). Results: Postoperative vomiting and weight gain were recorded. Weight gain significantly increased after the operation when compared preoperatively. Conclusion: Double Incomplete Pyloromyotomy is a new, safe and effective procedure for treatment of infantile hypertrophic pyloric stenosis
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