The results of Ramstedt's operation: room for complacency?
The results of 101 pyloromyotomies performed from 1972 to 1980 have been analysed; 34 operations were performed using local anaesthesia and 67 using general anaesthesia. The use of local anaesthesia was not associated with any advantage related to postoperative or other complications. A high postoperative complication rate of 20% was found (excluding postoperative vomiting), and there were 2 deaths; 11 patients suffered wound infection, with Staphylococcus aureus isolated from 5 of these wounds. The use of prophylactic antibiotics active against Staphylococcus aureus is suggested.
D000293:Adolescent; D000768:Anesthesia, General; D000772:Anesthesia, Local; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D011707:Pyloric Stenosis / Q000151:congenital / Q000601:surgery*; D013530:Surgical Wound Infection / Q000209:etiology; D014839:Vomiting / Q000209:etiology