Our experience of laparoscopic pyloromyotomy with ultrasound-guided parameters

Traditional management of infantile Hypertrophic Pyloric Stenosis is open pyloromyotomy after initial adequate resuscitation of the patient. From 1991, laparoscopic approach is considered feasible and safe. Today, diagnosis of hypertrophic pyloric stenosis is made most often made by ultrasound. With...

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Bibliographic Details
Published in:Journal of minimal access surgery 2019-01, Vol.15 (1), p.51-55
Main Authors: Hukeri, Aboli, Gupta, Abhaya, Kothari, Paras, Dikshit, Vishesh, Kekre, Geeta, Patil, Prashant, Kulkarni, Apoorva, Pawar, Arjun
Format: Article
Language:English
Subjects:
Diagnosis
Infantile hypertrophic pyloric stenosis
laparoscopic pyloromyotomy
Laparoscopy
Original
Pyloric stenosis
Safety and security measures
Stenosis
Studies
Surgery
Tumors
Ultrasonic imaging
ultrasound
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Summary:Traditional management of infantile Hypertrophic Pyloric Stenosis is open pyloromyotomy after initial adequate resuscitation of the patient. From 1991, laparoscopic approach is considered feasible and safe. Today, diagnosis of hypertrophic pyloric stenosis is made most often made by ultrasound. With use of ultrasound-guided parameters (length of pyloric tumour and thickness of pyloric tumour), we could avoid 'incomplete pyloromyotomy' and 'mucosal perforation' (most common complications in laparoscopic approach) to achieve 100% adequacy and safety in laparoscopic pyloromyotomy.
ISSN:0972-9941
1998-3921
DOI:10.4103/jmas.JMAS_193_17