UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

Retrospective comparison of open versus laparoscopic pyloromyotomy.

Hall, NJ; Ade-Ajayi, N; Al-Roubaie, J; Curry, J; Kiely, EM; Pierro, A; (2004) Retrospective comparison of open versus laparoscopic pyloromyotomy. Br J Surg , 91 (10) pp. 1325-1329. 10.1002/bjs.4523.

Full text not available from this repository.

Abstract

BACKGROUND: Laparoscopic pyloromyotomy is gaining popularity in the management of pyloric stenosis. However, there is no unequivocal evidence in favour of the laparoscopic over the open approach. This paper reports an experience with laparoscopic pyloromyotomy and an attempt to identify any benefit over the open procedure. METHODS: This was a retrospective review of all 87 pyloromyotomies performed at this institution for pyloric stenosis over the 39 months since the first laparoscopic pyloromyotomy was performed. RESULTS: Data for 39 infants who underwent laparoscopic pyloromyotomy were compared with those for 38 infants who underwent pyloromyotomy via a periumbilical incision. Patient demographics were similar between the two groups. The duration of operation was longer for laparoscopic pyloromyotomy than for the open procedure (median 50 versus 30 min; P = 0.001). There were no differences in recovery time, postoperative length of hospital stay, complication rates and postoperative analgesia requirements between the two groups. CONCLUSION: Laparoscopic pyloromyotomy has been incorporated successfully into the authors' standard working practice. Complication rates recovery times were similar to those achievable with the open procedure. There was no clear benefit of one approach over the other.

Type: Article
Title: Retrospective comparison of open versus laparoscopic pyloromyotomy.
Location: England
DOI: 10.1002/bjs.4523
Keywords: Analgesia, Female, Humans, Infant, Infant, Newborn, Laparoscopy, Male, Pain, Postoperative, Postoperative Care, Pyloric Stenosis, Pylorus, Retrospective Studies
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health > ICH Developmental Neurosciences Prog
URI: http://discovery.ucl.ac.uk/id/eprint/351610
Downloads since deposit
0Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item