BACKGROUND Laparoscopic pyloromyotomy (LP) is currently accepted as a suitable treatment modality for infantile hypertrophic pyloric stenosis (IHPS). In this report, we describe some technical modifications of LP using a 3- or 5-mm hook with electrocautery as a substitute for a knife for incising the pylorus. The outcomes of LP using a standard retractable pyloromyotomy knife are compared with ...

Conrad Ramstedt performed the first pyloromyotomy for what is now called idiopathic hypertrophic pyloric stenosis 100 years ago. The intervening century has seen the management of this condition transformed but the underlying cause remains a mystery. This article reviews the treatment of this condition before and after the introduction of pyloromyotomy and the advances made subsequently towards...

OBJECTIVE With recent advances in minimally invasive techniques, many surgeons are favoring laparoscopic over traditional "open" pyloromyotomy for hypertrophic pyloric stenosis. The results of few studies, however, exist in the literature adequately comparing surgical outcome. We present a retrospective analysis of 56 consecutive patients who underwent laparoscopic or open pyloromyotomy. METH...

BACKGROUND During the perioperative care of infants with hypertrophic pyloric stenosis, an opioid-sparing technique is often advocated due to concerns such as postoperative hypoventilation and apnea. Although the rectal administration of acetaminophen is commonly employed, an intravenous (IV) preparation is also currently available, but only limited data are available regarding IV acetaminophen...

Introduction: Hypertrophic pyloric stenosis (HPS) is well known in pediatric surgery and has good outcomes after pyloromyotomy.1 Emesis the immediate postoperative period occurs 40% of patients with HPS attributed to gastroparesis from prolonged gastric distention.2 presenting weeks months pyloromyotomy prompts an evaluation that often yields pathology unrelated HPS. Because recurrent rare, mak...

introduction: gastric drainage disorder is one of the complications of gastric pull-up and esophagectomy after surgery which might lead to esophageal cancer and benign strictures. the aim of this study was to determine the role of pyloromyotomy on gastric drainage. materials and methods: in this prospective randomized controlled clinical trial study, we studied 51 patients in two matched groups...

introduction hypertrophic pyloric stenosis (hps) is among common gi disorders in young infants, with an incidence of 1-2:1000 live births in the world. in this study, we wanted to investigate the correlation between duration of symptoms before surgery and eradication of symptoms after pyloromyotomy in hps.   materials and methods one hundred and twenty five (102 boys and   23 girls) patients wi...

Background: The gold standard procedure for treatment of infantile hypertrophic pyloric stenosis is Open Pyloromyotomy. The objective of this study was to compare the results of Laparoscopic Pyloromyotomywith the open procedure by means of a retrospective study of cases operated by both surgical techniques. Methods: A comparative study of cases operated by laparoscopic extramucosalpyloromyotomi...