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Comparison between umbilical and transverse right upper abdominal incision for pyloromyotomy.
- Source :
-
Journal of pediatric surgery [J Pediatr Surg] 2004 Jul; Vol. 39 (7), pp. 1091-3. - Publication Year :
- 2004
-
Abstract
- Background: Besides laparoscopic pyloromyotomy, the operation for pyloric stenosis has been performed using 2 standard open surgical exposures: the right upper quadrant (RUQ) incision and the semi-circumumbilical (UMB) incision. The aim of this study was to compare the morbidity and cosmetic results of both open exposures.<br />Methods: Between 1990 and 1995, we performed 104 pyloromyotomies through a RUQ incision. These operations were retrospectively compared with 133 UMB incisions performed between 1995 and 1999.<br />Results: There were no significant differences between the 2 groups regarding age at presentation, sex, and preoperative status. Only a significantly higher percentage of patients with a metabolic alkalosis before surgery was found in the UMB group, but this did not affect morbidity rate. The groups did not differ significantly with respect to mucosal perforations (P =.95), wound infections (P =.53), inadequate pyloromyotomies (P =.42), or other complications. The mean operating time was slightly longer in the UMB group (P <.025). The UMB approach produced a better cosmetic result, with an almost invisible scar.<br />Conclusions: This study has shown that the UMB approach has equal intra- and postoperative complication rates as compared with the RUQ approach. The main advantage of the UMB approach is that it produces an excellent long-term cosmetic result.
- Subjects :
- Cicatrix etiology
Digestive System Surgical Procedures adverse effects
Esophageal Perforation etiology
Follow-Up Studies
Gastric Outlet Obstruction diagnostic imaging
Gastric Outlet Obstruction etiology
Humans
Infant
Intraoperative Complications etiology
Length of Stay
Retrospective Studies
Surgical Wound Dehiscence etiology
Surgical Wound Infection etiology
Treatment Outcome
Ultrasonography
Digestive System Surgical Procedures methods
Pyloric Stenosis, Hypertrophic surgery
Pylorus surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1531-5037
- Volume :
- 39
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Journal of pediatric surgery
- Publication Type :
- Academic Journal
- Accession number :
- 15213905
- Full Text :
- https://doi.org/10.1016/j.jpedsurg.2004.03.063