Abstract
Thirty-two patients underwent a pyloromyotomy via an umbilical incision; in 11 a modified umbilical approach was used to facilitate delivery of the pyloric mass. Incisions are made in the skin fold of the upper half of the umbilicus and at the midline, joining the two at the top. The skin incision is closed by upper umbilical translocation with a very good cosmetic result. This incision allows easy access to the pylorus and provides more convenient exposure. The absence of traction on the retractors avoids tissue ischemia, which leads to wound abscess development.
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References
Alain JL, Grousseau D, Terrier G (1991) Extramucosal pylorotomy by laparoscopy. J Pediatr Surg 26: 1191–1192
Fitzgerald PG, Lau GYP, Langer JC, Cameron GS (1990) Umbilical fold incision for pyloromyotomy. J Pediatr Surg 25: 1117–1118
Huddart SN, Bianchi A, Kumar V, Gough DCS (1993) Ramstedt's pyloromyotomy: circumumbilical versus transverse approach. Pediatr Surg Int 8: 395–396
Tan KE, Bianchi A (1986) Circumumbilical incision for pyloromyotomy. Br J Surg 73: 399
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Besson, R., Weir, R., Salakos, C. et al. Congenital pyloric stenosis: a modified umbilical incision for pyloromyotomy. Pediatr Surg Int 12, 224–225 (1997). https://doi.org/10.1007/BF01350013
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DOI: https://doi.org/10.1007/BF01350013