Access to the hypertrophic pylorus: does it make a difference to the patient?

@article{Tander2009AccessTT,
  title={Access to the hypertrophic pylorus: does it make a difference to the patient?},
  author={Burak Tander and Christina M. Shanti and Michael D. Klein},
  journal={European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie},
  year={2009},
  volume={19 1},
  pages={
          14-6
        }
}
  • B. Tander, C. Shanti, M. Klein
  • Published 1 February 2009
  • Medicine
  • European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
BACKGROUND The aim of the study was to evaluate the effects of different access methods for the treatment of pyloric stenosis (PS). METHODS Since 2001, we have operated on children with PS using three different access methods: classic right upper quadrant transverse incision (TI), incision on the superior umbilical fold (UI) and laparoscopic (L). We reviewed the records of these children with special emphasis on the number and characteristics of complications, operative time, and length of… 
Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies.
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  • Medicine
    European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
  • 2021
TLDR
Laparoscopic compared with open pediatric surgery seems to be beneficial in most types of procedures and the number of randomized controlled trials (RCTs) remains limited.
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TLDR
This model appears to be sufficiently accurate to teach laparoscopic pyloromyotomy and can be considered to be an efficient tool for LP simulation teaching in the authors' fellows' educational program.
A middle fidelity model is effective in teaching and retaining skill set needed to perform a laparoscopic pyloromyotomy.
TLDR
A middle fidelity model, reproducing the three consistent steps in LP, was developed as a component of a teaching module for surgical residents, tested on medical students, residents, and pediatric surgeons and agreed that the model accurately simulated essential components of the pyloromyotomy.
Krankheiten des Ösophagus bei Kindern und Jugendlichen
Epidemiologie Eine Atresie der Speiseröhre tritt bei 1 von 3000 Lebendgeborenen auf. Jungen und Mädchen sind gleich häufig betroffen. In 85 % der Fälle geht die Atresie mit einer Fistelbildung
Erkrankungen des Magens und Duodenums
Der Magen dient als Reservoir fur Speisen und Getranke, zerkleinert die aufgenommene Nahrung und setzt den in der Mundhohle begonnenen Verdauungsprozess fort. Die Hauptfunktionen des Magens sind
Pylorusstenose

References

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Choice of incision: the experience and evolution of surgical management of infantile hypertrophic pyloric stenosis.
TLDR
Laroscopic pyloromytomy is as effective and safe as open procedures and is associated with an improved recovery profile, and laparoscopy should be the management of choice for hypertrophic pyloric stenosis.
A comparison of laparoscopic and open pyloromyotomy at a teaching hospital.
TLDR
Laparoscopic pyloromyotomy has progressively become the dominant surgical approach to pylOromyotomy at this institution, and the Lap approach may be associated with increased complication rates, a reduction in general surgery resident operative experience, and higher hospital charges.
Open Versus Laparoscopic Pyloromyotomy for Pyloric Stenosis: A Prospective, Randomized Trial
TLDR
The first large prospective, randomized trial between open and laparoscopic pyloromyotomy results in less postoperative pain and reduced postoperative emesis, and patients approached laparoscopically will likely display superior cosmetic outcomes with long-term follow-up.
Pyloric stenosis: From a retrospective analysis to a prospective clinical trial – the impact on surgical outcomes
TLDR
The laparoscopic approach does not appear to influence length of recovery compared to the open operation and there is an inherent and obvious cosmetic advantage to the Laparoscopic and circumumbilical approaches, which avoid a large epigastric incision.
[Extra-mucosa pylorotomy by laparoscopy].
An extramucosal pylorotomy was performed in infants with hypertrophic pyloric stenosis made possible by laparoscopic progress. After performing six cases by laparoscopy, the authors describe what
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