J Korean Assoc Pediatr Surg.  1996 Dec;2(2):100-101. 10.13029/jkaps.1996.2.2.100.

Clinical Experience of Circumumbilical Incision for Infantile Hypertrophic Pyloric Stenosis

• Kim CS
• Jean HB

• KMID: 2422276
• DOI: http://doi.org/10.13029/jkaps.1996.2.2.100

Abstract

Infantile hypertrophic pyloric stenosis is one of the most common disorders requiring surgical therapy during the first few weeks of life. Although the pyloromyotomy, reported by Fredet and Ramstedt, was accepted as a standard procedure of choice, various laparotomy incisions have been reported by several authors. Currently, the most commonly used transverse or right upper quadrant incisions, offer many advantages, but is not without drawbacks. The authors utilized the circumumbilical skin incision and upper subcutaneous dissection followed by vertical division of linea alba in 16 cases of infantile hypertrophic pyloric stenosis. This incision avoids transection of rectus muscle and offers a much better cosmetic result. We prefer this procedure because of acceptable scar and no additional wound complication.

Keyword

Incision; Infantile hypertrophic pyloric stenosis

MeSH Terms

Cicatrix
Laparotomy
Pyloric Stenosis, Hypertrophic*
Skin
Wounds and Injuries