Management of mucosal perforation during pyloromyotomy for infantile pyloric stenosis.
Mucosal perforation during Fredet-Ramstedt pyloromyotomy is the cause of unnecessary morbidity and death if unrecognized. Previously, a variety of closure have been advocated. In 1,777 cases there has been 42 (2.3%) intraoperative perforations. One unrecognized perforation led to a postoperative death. Closure of a mucosal tear is accomplished safely by a simplified suture technique without prolonged convalescence or death.
D006801:Humans; D007223:Infant; D007431:Intraoperative Complications; D008722:Methods; D011706:Pyloric Antrum / Q000601:surgery; D011707:Pyloric Stenosis / Q000601:surgery*; D013270:Stomach / Q000293:injuries* / Q000601:surgery; D014950:Wounds, Penetrating / Q000601:surgery*