Journal of Minimal Access Surgery

ORIGINAL ARTICLE
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Year : 2013  |  Volume : 9  |  Issue : 4  |  Page : 159--162

Trocarless laparoscopic pyloromyotomy with conventional instruments: Our experience

Sandesh V Parelkar, Pooja V Multani, Beejal V Sanghvi, Shishira R Shetty, Hemangi R Athawale, Satish P Kapadnis, Dinesh D Mundada, Sanjay N Oak 
 Department of Pediatric Surgery, KEM Hospital, Parel, Mumbai, India

Correspondence Address:
Pooja V Multani
Department of Pediatric Surgery, Old Building, King Edward Memorial Hospital, Parel - 400012, Mumbai
India

Background: The incidence of hypertrophic pyloric stenosis is approximately 1-3 per 1,000 live births. Hypertrophic pyloric stenosis is seen more often in males, with a male-to female ratio of 4:1. Laparoscopic pyloromyotomy is becoming increasingly popular as the standard treatment for hypertrophic pyloric stenosis. Materials and Methods: We describe our initial experience with laparoscopic pyloromyotomy in 16 infants using conventional laparoscopic instruments. Laparoscopic pyloromyotomy was performed through 5-mm umbilical port with 5mm 30 endoscope. Two 3-mm working instruments were inserted directly into the abdomen via separate lateral incisions. Results: All patients were prospectively evaluated. The procedure was performed in 16 infants with a mean age of 36 days and mean weight of 3.1 kg. All procedures, except two, were completed laparoscopically with standard instruments. Average operating time was 28 mins, and average postoperative length of stay was 2.8 days. There were no major intraoperative and postoperative complications. Conclusion: Laparoscopic pyloromyotomy can be safely performed by using standard conventional laparoscopic trocarless instruments.


How to cite this article:
Parelkar SV, Multani PV, Sanghvi BV, Shetty SR, Athawale HR, Kapadnis SP, Mundada DD, Oak SN. Trocarless laparoscopic pyloromyotomy with conventional instruments: Our experience.J Min Access Surg 2013;9:159-162


How to cite this URL:
Parelkar SV, Multani PV, Sanghvi BV, Shetty SR, Athawale HR, Kapadnis SP, Mundada DD, Oak SN. Trocarless laparoscopic pyloromyotomy with conventional instruments: Our experience. J Min Access Surg [serial online] 2013 [cited 2019 Sep 18 ];9:159-162
Available from: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2013;volume=9;issue=4;spage=159;epage=162;aulast=Parelkar;type=0