Skin Extension for Tan and Bianchi Incision in Pyloromyotomy

DOI

10.2991/ahsr.k.211012.015How to use a DOI?

Keywords

pyloromyotomy, umbilical, incision, tan

Abstract

Umbilical cord pyloromyotomy for infant hypertrophic pyloric stenosis (IHPS) shows excellent cosmetic results, in up to 30% of cases, be this is because there is a possibility that the point of the skin fold over the muscle does not allow comfortable placement of the hypertrophic pylorus, leading to undesirable serous lacerations. The aim of this study was to evaluate the safety of hysterectomy for IHPS using a modification of the Tan-Bianchi method. Patients and methods This study was conduct in the Pediatric Surgery Unit, Central Pediatric Teaching Hospital Baghdad and Alkhansaa Teaching Hospital Mosul, during June 2016 to June 2020. The present study included infants presented with repeated projectile non-bilious vomiting who underwent pyloromyotomy for IHPS. Most patients underwent pylorectomy with Tan-Bianchi umbilical incision. Sometimes the incision must be widened to the side. After surgery, the following data were collected: duration of surgery, postoperative course and length of hospital stay after surgery. Result Pyloromyotomy used to manage them using the modified umbilical skim incision. The study included 18 male (78.7%) and 5 female (18.3%) patients; their ages at presentation ranged from 30 to 90 days, and their weights ranged from 2600 to 3500 g.The skin incision were extended in 9 infants to deliver the pylorus, particularly when it was large. The operating time ranged between 23 and 35 min. The length of hospital stay after surgery varies from 24 to 72 hours. Wounds mostly heal without wound infection, laceration, or incisional hernia. In all patients, the perineal incision left an almost undetectable scar. Conclusion Entering the abdominal cavity through making a circumumbilical skin incision with a lateral extension have excellent results even in a large pyloric mass. We recommend using this technique for large pyloric masses.

Copyright

© 2021, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

Download article (PDF)

TY  - CONF
AU  - Muataz Alani
AU  - Sinan Aljarah
PY  - 2021
DA  - 2021/10/12
TI  - Skin Extension for Tan and Bianchi Incision in Pyloromyotomy
BT  - Proceedings of the 1st International Ninevah Conference on Medical Sciences (INCMS 2021)
PB  - Atlantis Press
SP  - 88
EP  - 91
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.211012.015
DO  - 10.2991/ahsr.k.211012.015
ID  - Alani2021
ER  -