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Ramstedt's pyloromyotomy: a specialist procedure?
- Source :
- The British journal of clinical practice. 47(4)
- Publication Year :
- 1993
-
Abstract
- One hundred and twenty infants with infantile hypertrophic pyloric stenosis were operated on by two consultant general surgeons over a 13-year period. General anaesthetic and a standard surgical approach was used in all cases. No mortality was recorded and there were no wound dehiscences. The overall postoperative wound infection rate was 9.2%. Prior to 1985 the infection rate was 15%. Following attention to a number of details including care of the umbilicus, the incidence decreased after 1985 to 4%. The most common postoperative complication was vomiting, which occurred in 25% of infants. There was one negative laparotomy in the 13-year study period. Two children required a second procedure for persistent vomiting. The argument in favour of specialisation in managing this condition is questioned along with the need for intensive diagnostic investigation.
Details
- ISSN :
- 00070947
- Volume :
- 47
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The British journal of clinical practice
- Accession number :
- edsair.pmid..........7005cd2438390da90acaacec6e7e2293