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Supraumbilical pyloromiotomy with the use of fenestrated forceps --- Pyloromiotomia okolopepkowa z zastosowaniem klemu okienkowego

Author(s): Janusz Jablonski | Renata Gawronska | Aleksandra Gawlowska | Ewa Andrzejewska

Journal: Przegląd Pediatryczny
ISSN 0137-723X

Volume: 37;
Issue: 1;
Start page: 35;
Date: 2007;
Original page

Aim of the study: Pyloromyotomy through a supraumbilical skin fold incision ensures good cosmetic effect, but may cause some troubles with delivery of much enlarged pylorus through surgical wound. The aim of the study is discussion of advantages of fenestrated forceps usage in this kind of approach. Material and methods: From 2001 to 2004 12 children with infantile hypertrophic pyloric stenosis were operated on with the use of fenestrated forceps and 10 without it. The instrument was made according to the blueprint of Janusz Jablonski MD. It's windowlike design and not connecting ends of the tool stabilize the pylorus, prevent the damage of serous membrane and make the delivery of the pylorus into the wound easy and fast. Results: Mean time of procedure was 18 minutes in the group of children treated with help of these forceps. Procedures without the instrument took 35 minutes on average. We have not observed any increase in the number of post-surgical complications. Length of hospital stay remained unchanged. Conclusions: Based on our experience, usage of the described forceps makes delivery of hypertrophic pylorus from the abdominal cavity easier and faster, even if it is large, which shortens the time of surgery and limits the number of complications.

Tango Jona
Tangokurs Rapperswil-Jona

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