Supra-transumbilical laparotomy (STL) approach for small bowel atresia repair: Our experience and review of the literature

Abstract

Increasing evidence suggests that STL approach for small bowel atresia is feasible, safe and provides adequate exposure for small bowel atresia surgery. When malrotation and colonic/multiple atresia are pre-operatively ruled out, STL procedure can be chosen as first approach.

A new paradigm of scarless abdominal surgery in children: Transumbilical minimal incision surgery

“…[3]. The use of the transumbilical approach for neonatal laparotomy has been reported previously [4,[7][8][9].…”

Transumbilical minilaparotomy in low-birthweight newborns for complicated conditions

“…The complication rate of this study is 25%, which is relatively higher than the rate of 6.7%e14.3% in the literature (Table 3). 2,4,7,8 The re-operation rate ranges from 2.2% to 14.2% in the literature, 2,4,7,8 and it was required in three patients (18.8%) in our cohort. Although there was no significant difference between complication and reoperation rates of NBW and LBW, the high proportion of LBW and complexity are considered as important risk factors for the increasing complication rate.…”

“…As reported in the literature, re-operations were accomplished through the same incision without further complications. 2,4,7,8 In patient No. 9, the incision was extended inferiorly to allow pelvis exploration, which resulted in a more prominent scar.…”