Retrospective comparison of open <i>versus</i> laparoscopic pyloromyotomy

Hall, Nigel; Ade-Ajayi, Niyi; Al-Roubaie, J.; Curry, Joseph I.; Kiely, Edward M.; Pierro, Agostino

doi:10.1002/bjs.4523

Cited by 26 publications

(27 citation statements)

References 19 publications

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“…Formation of scar retraction appeared to be related to the existence of a previous wound infection, although this association was statistically not quite significant. Wound infection rate of present series was 5.8%, which well compares with that of current average reported by other series for both circumumbilical and laparoscopic pyloromyotomies [8,[12][13][14]. Indeed, the literature suggests that patients operated on using a circumumbilical incision have an increased risk for wound infection development.…”

Section: Discussionsupporting

confidence: 87%

Circumumbilical pyloromyotomy in the era of minimally invasive surgery

Cozzi¹,

Ceccanti²,

Mele³

et al. 2008

Journal of Pediatric Surgery

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Section: Discussionsupporting

confidence: 87%

Circumumbilical pyloromyotomy in the era of minimally invasive surgery

Cozzi¹,

Ceccanti²,

Mele³

et al. 2008

Journal of Pediatric Surgery

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“…The pyloromyotomy is not without complications, although they are uncommon. Most recent reports about pyloromyotomy concern the differences between the procedures through the umbilical route [2,4,11,15,19] or the laparoscopic technique [3,7,9,17,18,20]. Until now a debate has gone on as to whether this procedure can be safely performed in general hospitals with special interest in surgery in children.…”

Section: Discussionmentioning

confidence: 96%

Can pyloromyotomy for infantile hypertrophic pyloric stenosis be performed in any hospital?

et al. 2006

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In order to document the incidence of perioperative complications in patients with infantile hypertrophic pyloric stenosis, a descriptive cohort study was performed in two teaching hospitals in the Netherlands. One hospital specialized in pediatric surgery and the other was a general surgery teaching hospital. All consecutive infants who underwent pyloromyotomy for the diagnosis hypertrophic pyloric stenosis in both hospitals between 1998 and 2002 were included. The children were diagnosed and treated according to a standard protocol. From all charts, complications durante- and post-operationem were recorded. A total of 256 pyloromyotomies were performed. Registered perioperative complications were duodenal mucosal perforation (n=6; 2%). Perioperatively unrecognized duodenal mucosal perforation occurred four times (1%). One re-operation was performed for an incomplete pyloromyotomy (0.3%). Persistent vomiting after the operation occurred in 18 children (7%). A large majority of postoperative complications were wound infections (n=16; 6%), 12 after right upper quadrant incision and 4 after umbilical incision; most of them were treated with antibiotics and/or incision for drainage of an abscess. An incisional hernia occurred four times. Prolonged vomiting was the only postoperative complication that differed significantly between the two teaching hospitals. The overall percentages of complications were equal to complication rates in literature, and since there were no extensive differences in major complications between the two teaching hospitals in this study, we can conclude that pyloromyotomy can be performed safely in specialized centers and in general centers provided with a multidisciplinary team.

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“…Recently, there have been numerous case series [5][6][7], randomized controlled trials [8][9][10], and meta-analyses [11][12][13] on laparoscopic versus open pyloromyotomy. Across the board, Cross-technique SIPES pyloromyotomy compares favorably to the published data.…”

Section: Discussionmentioning

confidence: 99%