Laparoscopic Pyloromyotomy

  • Philippe Montupet
  • Ciro Esposito
  • Mario Mendoza-SagaonEmail author


Little controversy still exists to establish the most appropriate treatment of hypertrophic pyloric stenosis (HPS) in neonates and infants. The nonoperative treatment with oral or intravenous atropine has low acceptance due to the overall success rate of 75–79%, the long-term therapy, and the collateral effects [1, 2]. Surgical treatment described in 1912 by Dr. Conrad Ramstedt remains the suitable standard management option due to the higher success rate (~100%), minimal complications, and shorter hospital stay [1, 3]. In recent years, pediatric laparoscopy and other minimal invasive techniques have found a place in the surgical therapy for HPS offering excellent results but creating some controversy about the benefits when comparing to the open approach [4–6].


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Philippe Montupet
    • 1
  • Ciro Esposito
    • 2
  • Mario Mendoza-Sagaon
    • 3
    Email author
  1. 1.Department of Pediatric SurgeryUniversity Hospital of BicêtreParisFrance
  2. 2.Pediatric Surgery Unit, Department of Translational Medical Sciences (DISMET)University of Naples “Federico II”NaplesItaly
  3. 3.Department of Pediatric SurgeryRegional Hospital of Bellinzona-EOCBellinzonaSwitzerland

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