2011
DOI: 10.1016/j.jpedsurg.2011.02.019
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Open transumbilical pyloromyotomy: is it more painful than the laparoscopic approach?

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Cited by 18 publications
(11 citation statements)
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“…15 Similarly, a Canadian comparison of laparoscopic versus open pyloromyotomy in 38 infants reported very low rates of postoperative opioid use in either group (0% vs 5%, respectively). 16 These data suggest that opioids may not be needed for otherwise healthy infants undergoing pyloromyotomy. Our findings support this argument, as we found that most infants did not receive opioids postoperatively, with the most recent year of data (2015) showing 18 hospitals avoided postoperative opioids altogether.…”
Section: Discussionmentioning
confidence: 96%
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“…15 Similarly, a Canadian comparison of laparoscopic versus open pyloromyotomy in 38 infants reported very low rates of postoperative opioid use in either group (0% vs 5%, respectively). 16 These data suggest that opioids may not be needed for otherwise healthy infants undergoing pyloromyotomy. Our findings support this argument, as we found that most infants did not receive opioids postoperatively, with the most recent year of data (2015) showing 18 hospitals avoided postoperative opioids altogether.…”
Section: Discussionmentioning
confidence: 96%
“…12e14 In fact, previous data suggest that adequate pain control can be achieved with nonopioid modalities in most patients undergoing pyloromyotomy. 15,16 Currently, there are no national data on the use of opioids for infants requiring a pyloromyotomy. Infants undergoing pyloromyotomy are typically healthy, thus providing a relatively uniform clinical population in which to explore variations in perioperative opioid use and its impact on clinical outcomes.…”
Section: Introductionmentioning
confidence: 99%
“…2,7 Laparoscopic pyloromyotomy may be associated with less postoperative pain and a slightly shorter time to full feeds. 1,8 The duration of surgery and anaesthesia is similar for laparoscopic and open pyloromyotomy. 7…”
Section: Surgerymentioning
confidence: 99%
“…Minimally invasive surgery does not always result in improved pain control with the need for fewer analgesic agents. Lemoine et al 38 evaluated the differences in postoperative pain between infants who underwent either open or laparoscopic pyloromyotomy and they were unable to document relevant differences. With the use of a case–control design, Ceelie et al 39 also documented that minimal access surgery for repair of esophageal atresia or congenital diaphragmatic hernia was not associated with fewer cumulative opioid doses following surgery.…”
Section: Locoregional Anesthesia and Minimally Invasive Techniquesmentioning
confidence: 99%