Extramucosal pyloromyotomy by laparoscopy

Alain, J. L.; Grousseau, D; Terrier, G

doi:10.1007/bf02653256

Cited by 152 publications

(74 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similar observations have been made by Hamada et al 1995. In other studies, the pylorus was stabilized with the use of a single tool in laparoscopic pyloromyotomy (Alain et al 1991, Muensterer et al 2010, but according to the authors, four ports (group 2) is the optimal number of ports in laparoscopic pyloromyotomy.…”

Section: Discussionsupporting

confidence: 70%

See 1 more Smart Citation

Experimental laparoscopic pyloromyotomy in pigs

Holak¹,

Matyjasik²,

Jałyński³

et al. 2015

Polish Journal of Veterinary Sciences

View full text Add to dashboard Cite

The objective of this study was to evaluate and compare laparoscopic pyloromyotomy methods involving the laparoscopic scalpel and the harmonic scalpel in pigs. The experiment was conducted on 4 subgroups of 12 animals subjected to laparoscopic-assisted pyloromyotomy with a surgical scalpel and the harmonic scalpel, as well as laparoscopic pyloromyotomy with Berci's laparoscopic scalpel and the harmonic scalpel. No postsurgical complications were observed. Four weeks after the surgery, the animals were sacrificed and autopsy was performed. In one animal peritoneal adhesions between the intestines and the mini-laparotomy incision were found. Laparoscopic pyloromyotomy and laparoscopic-assisted pyloromyotomy performed in pigs enabled the selection of laparoscopic entry sites, instruments for pyloromyotomy and evaluation of the applied surgical procedures in animals. The results of this study indicate that the methods applied can be safely used in clinical practice in dogs and cats due to minimal post-operative complications and fast healing of laparoscopic incisions in comparison with classical surgical wounds, and that the harmonic scalpel is a safe surgical instrument.

show abstract

Section: Discussionsupporting

confidence: 70%

“…Pyloromyotomy was performed based on the method described by Ramstedt (Alain et al 1991). The serous membrane and part of the muscular layer of the pylorus were incised, and the edges of the wound were extended until the pyloric mucosa became visible.…”

Section: Discussionmentioning

confidence: 99%

Experimental laparoscopic pyloromyotomy in pigs

Holak¹,

Matyjasik²,

Jałyński³

et al. 2015

Polish Journal of Veterinary Sciences

View full text Add to dashboard Cite

show abstract

“…Extramucosal pyloromyotomy is the only definitive treatment for these infants. Laparoscopic approach has been reported to be associated with a better postoperative course and avoidance of any skin scar [8]. During surgery, one intraoperative complication of mucosal perforation was encountered, which was managed with primary closure with omental patch.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Hypertrophie Pyloric Stenosis : Our Experience

Puri

Sreevastava

Kalra³

2006

Medical Journal Armed Forces India

View full text Add to dashboard Cite

Background : A typical infant with idiopathic hypertrophic pyloric stenosis is described as a male child, first in the order of birth with a positive family history. However our experience suggests otherwise which is presented in this report. Methods : A retrospective analysis of medical records of 8 infants, who were diagnosed to be suffering from idiopathic hypertrophic pyloric stenosis and subjected to surgical treatment, was undertaken. Results : There were 5 (62.5%) males and 3 (37.5%) females. There was no family history and only one child (12.5%) was first born in the order of birth. One infant was preterm and one case (12.5%) had associated congenital anomaly (single kidney). Definitive diagnosis was established in 6 (75%) babies at admission whereas, other 2 cases (25%) required further evaluation. All the infants were in a state of moderate dehydration and in a varying state of hypochloremic alkalosis. The pH and serum chloride levels ranged from 7.52 to 7.67 and 86-94 mmol/L respectively. All were subjected to traditional Ramstedt's pyloromyotomy after having undergone vigorous correction of fluids and electrolytes for 24-48 hours. Intraoperatively, there was one iatrogenic mucosal perforation, which was closed with an omental patch. Postoperative feeding was initiated 12 hrs after surgery in 6 (75%) babies. Conclusion : Our series suggests a clinical profile of hypertrophic pyloric stenosis in our subset of patients which is different from what is described in literature. MJAFI 2006; 62 : 216-219

show abstract

“…A laparoscopic approach to pyloromyotomy was described in the 1990s 3 . Its potential advantages include shorter recovery time and improved cosmesis, but its superiority over the open approach has not been demonstrated unequivocally.…”

Section: Introductionmentioning

confidence: 99%