• Users Online: 1146
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2017  |  Volume : 3  |  Issue : 2  |  Page : 22-26

Extended Umbilical Incision for Pyloromyotomy: Our Experience


1 Assistant Professor, Department of Paediatric Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar, India
2 Professor, Department of Paediatric Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar, India
3 Additional Professor, Department of Paediatric Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar, India
4 Senior Resident, Department of Paediatric Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar, India

Correspondence Address:
Ramdhani Yadav
Assistant Professor, Department of Paediatric Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna -14, Bihar
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

Background: Classical incision for open Pyloromyotomy in patients of Infantile hypertrophic pyloric stenosis (IHPS) leaves a prominent scar. By providing better cosmesis without affecting the accessibility to the pathologic site, incision hidden in the umbilical scar would serve as an alternative to the classical incision. Objective: To compare the results of Extended umbilical incision with that of classical incision for Pyloromyotomy in patients of IHPS. Methods: Intra-operative and post-operative details of 20 patients of IHPS who underwent pyloromyotomy through extended umbilical incision were compared to 20 other patients where Right upper transverse incision (classical incision) was used in the Department of Paediatric surgery, at a tertiary care centre. Results: No statistically significant differences were observed between the two groups in intra-operative time, complications and post-operative stay in hospital. Umbilical incision had better cosmesis. Conclusion: Although right upper transverse incision has been generally advocated in neonates and infants, we found that a less conspicuous wound in the garb of the umbilical scar is more cosmetic and convenient, within the current principles of minimally invasive surgery. It combines the ease and safety of open pyloromyotomy with the advantages of minimal invasiveness.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed467    
    Printed12    
    Emailed0    
    PDF Downloaded21    
    Comments [Add]    

Recommend this journal