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Ramstedt's pyloromyotomy: circumumbilical versus transverse approach

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Abstract

Three hundred twenty infants underwent a Ramstedt pyloromyotomy for hypertrophic pyloric stenosis, 182 via a transverse right hypochondrial incision and 138 via a circumumbilical incision. The overall rate of wound infections was 16% for operations performed via the umbilical approach compared with 5.5% for operations via a transverse approach despite a higher use of antibiotic prophylaxis (64% vs 13%). The rate of serious infections was similar (5.8% vs 4.9%) and there was no difference in average duration of hospital stay (4.1 vs 4.4 days). The incidence of post-operative incisional hernia was less when performed via the umbilical approach (0.7% vs 2.7%) and all umbilical incisions healed well, resulting in an apparently unscarred abdomen.

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Authors and Affiliations

  1. The Royal Manchester Children's Hospital, Hospital Road, M27 1HA, Pendlebury, Manchester, UK

    S. N. Huddart, A. Bianchi, V. Kumar & D. C. S. Gough

Authors
  1. S. N. Huddart
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  2. A. Bianchi
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  3. V. Kumar
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  4. D. C. S. Gough
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Correspondence to: A. Bianchi

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Huddart, S.N., Bianchi, A., Kumar, V. et al. Ramstedt's pyloromyotomy: circumumbilical versus transverse approach. Pediatr Surg Int 8, 395–396 (1993). https://doi.org/10.1007/BF00176726

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  • DOI: https://doi.org/10.1007/BF00176726

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