Experience with a nonlaparoscopic, transumbilical, intracavitary pyloromyotomy

Preliminary experience with a new approach for infantile hypertrophic pyloric stenosis: the single-port, laparoscopic-assisted pyloromyotomy

“…The exteriorization of the pylorus may be difficult through the circumbilical incision and some authors prefer to perform an extended incision [29][30][31], modifying the original technique [6] or performing an intra-abdominal pyloromyotomy [32][33][34]. In our short series, using the right semicircular umbilical approach [3], there were no difficulties in extracting the pylorus.…”

Supraumbilical Pyloromyotomy: A Comparative Study Between Intracavitary and Extracavitary Techniques

“…However, the visibility and permanence of the scar remains a problem. 12 Laparoscopy has been introduced by many surgeons to be minimally invasive with little mobilization of the mass and low complication rates. 13 However, in addition to its costs and a fairly steep learning curve, many centers still report a significant number of complications including mucosal perforation, duodenal injury, conversion to laparotomy, incomplete myotomy, incisional hernia, and wound infection.…”

Impact of surgical approach on outcome in 622 consecutive pyloromyotomies at a pediatric teaching institution

“…Both of these techniques have been widely adopted and are successfully practiced around the globe. Other innovative approaches have been described and are practiced on a smaller scale at individual centers [15][16][17][18].…”