Extramucosal pyloromyotomy by laparoscopy.

J Laparoendosc Surg

Department of Pediatric Surgery, Dupuytren University Hospital, Limoges, France.

Published: March 1996

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Introduction: Hypertrophic pyloric stenosis (HPS) is a frequent pathology in neonates, with extramucosal pyloromyotomy being a healing surgery. It may be performed through a transverse subcostal incision (TSI) or a transumbilical incision (TUI).

Objective: To compare complications, operating times, hospital stay, and esthetic results between both techniques.

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Hypertrophic Pyloric Stenosis (HPS) represents a relatively rare occurrence beyond infancy. Here, we present the case of a barely 3-year-old boy diagnosed with late-onset HPS and successfully treated with extra-mucosal pyloromyotomy. We review the literature, challenging the principle that more aggressive surgical approaches should be preferred over less invasive ones.

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Hypertrophic pyloric stenosis masked by kidney failure in a male infant with a contiguous gene deletion syndrome at Xp22.31 involving the steroid sulfatase gene: case report.

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February 2022

Neonatal Intensive Care Unit, Department of Health Promotion, Mother-Child Care, Internal Medicine and Medical Specialties "G. D'Alessandro", University Hospital "P. Giaccone", Via Alfonso Giordano n. 3, 90127, Palermo, Italy.

Article Synopsis
  • A male newborn presented with congenital anomalies of the kidney and urinary tract (CAKUT) and kidney failure, linked to a family history of renal issues.
  • Diagnostic tests revealed a deletion on the X chromosome affecting the steroid sulfatase gene (STS), which is associated with both kidney abnormalities and infantile hypertrophic pyloric stenosis (IHPS).
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Hypertrophic Pyloric Stenosis: 10 Years' Experience with Standard Open and Laparoscopic Approach.

Pediatr Gastroenterol Hepatol Nutr

May 2021

Department of Surgery, Dentistry, Paediatrics and Gynecology, Woman and Child Hospital; Division of Pediatric Surgery, University of Verona, Verona, Italy.

Purpose: Hypertrophic pyloric stenosis (HPS) is the most common cause of gastric obstruction in newborns. Extra-mucosal pyloromyotomy can be performed through a small laparotomy or laparoscopy. The aim of this study was to compare the two surgical techniques.

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Aim: Evaluation of the effectiveness of oral atropine versus surgical therapy for hypertrophic pyloric stenosis (HPS).

Methodology: A total of 66 consecutive patients with HPS were treated at the University Children's Hospital between January 2006 and December 2011. The diagnosis was initially based on medical history and confirmed by ultrasonography (US).

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