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Infantile Hypertrophic Pyloric Stenosis

  • Ingrid Lizarraga
  • Todd A. Ponsky
  • Anthony Sandler
  • John Meehan

The traditional Ramstedt pyloromyotomy for infantile hypertrophic pyloric stenosis is performed through a very small incision. It has an excellent track record and is associated with rapid recovery and very low complication rate. Thus this procedure seems, at first glance, an unlikely one to be performed laparoscopically. An informal poll of recent graduates of pediatrie surgery programs, however, reveals that most preferred the laparoscopic rather than the open approach, as noted later in this chapter. Here we explore the role of minimal-access surgery in this common pediatrie surgical procedure, and give tips for both the open and laparoscopic approach.

Keywords

Laparoscopic Approach Pyloric Stenosis Hypertrophic Pyloric Stenosis Infantile Hypertrophic Pyloric Stenosis Duodenal Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Suggested Readings

  1. Adibe OO, et al. Comparison of outcomes after laparoscopic and open pyloromyotomy at a high-volume pediatric teaching hospital. J Pediatr Surg 2006;41:1676–1678.CrossRefPubMedGoogle Scholar
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  4. Meehan JJ. Pediatric minimally invasive surgery: general considerations; Pediatric laparoscopy: specific surgical procedures. In: Scott-Conner CEH, ed. The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy, 2nd ed. New York: Springer-Verlag, 2006:491–509.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Ingrid Lizarraga
    • 1
  • Todd A. Ponsky
    • 2
  • Anthony Sandler
    • 3
  • John Meehan
    • 4
  1. 1.University of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.Department of Surgery, Children’s National Medical CenterGeorge Washington University Medical CenterWashington, DC
  3. 3.Childrens National Medical CenterWashington, DCUSA
  4. 4.Department of Surgery, Division of Pediatric SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA

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