Ramstedt's pyloromyotomy: circumumbilical versus transverse approach

  title={Ramstedt's pyloromyotomy: circumumbilical versus transverse approach},
  author={Simon N. Huddart and Adrian Bianchi and Vijaya Kumar and David C. S. Gough},
  journal={Pediatric Surgery International},
Three hundred twenty infants underwent a Ramstedt pyloromyotomy for hypertrophic pyloric stenosis, 182 via a transverse right hypochondrial incision and 138 via a circumumbilical incision. The overall rate of wound infections was 16% for operations performed via the umbilical approach compared with 5.5% for operations via a transverse approach despite a higher use of antibiotic prophylaxis (64% vs 13%). The rate of serious infections was similar (5.8% vs 4.9%) and there was no difference in… CONTINUE READING