Operative technique: single-incision gastrostomy in pediatric patients

Introduction: Use of minimally invasive techniques for gastrostomy insertion in children is well documented. Laparoscopic placement is fast becoming the method of choice. However, it is important to note that there are still many centers in developing and under-developed countries in which laparosco...

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Bibliographic Details
Published in:Open access surgery (Auckland) 2012-01, Vol.5 (default), p.23-25
Main Authors: Aziz, Dayang A, Nor, Mahmud M
Format: Article
Language:English
Subjects:
Children
Health aspects
Laparoscopy
Methods
Ostomy
Pediatrics
Online Access:Get full text
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Summary:Introduction: Use of minimally invasive techniques for gastrostomy insertion in children is well documented. Laparoscopic placement is fast becoming the method of choice. However, it is important to note that there are still many centers in developing and under-developed countries in which laparoscopic or endoscopic facilities are not readily available. Methods: Here, we describe a less than 2 cm, single-incision open gastrostomy technique successfully performed on seven infants and one child who were all malnourished. A nasogastric tube was inserted to assist the technique. Results: All patients had a wound measuring less than 2 cm. Mean operating time was 30 minutes. Gastrostomy tube feeding was established after 6 hours post-surgery. No complications occurred in any of the patients. Conclusions: This technique is an excellent minimally invasive approach. It is simple, safe, and feasible. Keywords: minimally invasive, laparoscopic placement, children, single incision
ISSN:1178-7082
1178-7082
DOI:10.2147/OAS.S34201