title: Comparison of Two Laparoscopic Techniques for Gastropexy in Children.
abstract: BACKGROUND
  Laparoscopic gastrostomy is a widely used interventional procedure in pediatric surgery. We report comparative data for two endosurgical methods for the fixation of the stomach against the abdominal wall, using the U-stitches technique and the Saf-T-Pexy® (Halyard Health Inc., Alpharetta, GA) system.
  
  
  METHODS
  Within the period from January 2012 to June 2014 we performed 24 operations involving laparoscopic placement of a gastrostomy tube using U-stitches (Group I) and 24 operations using the Saf-T-Pexy system (Group II). The two groups of patients were compared in terms of demographics and intraoperative and postoperative results.
  
  
  RESULTS
  No statistical difference (P > .05) was found while comparing the patients' demographics and intra- and postoperative results. The mean duration of the surgical procedure in Group I was 23.75 minutes; in contrast, the mean duration of surgery in Group II was 22.71 minutes (P > .05). The time to first feeding (9.96 hours versus 10.63 hours) and time to full enteral feeding (23.13 hours versus 24.5 hours) were consistent for patients from both groups (P > .05). A similar postoperative duration of stay was recorded for the patients from the comparison groups (7.25 days versus 7.21 days; P > .05). Statistical analysis of the two groups demonstrated a significant difference in the parameters of minor postoperative complications (41.67% versus 8.33%; P < .05).
  
  
  CONCLUSIONS
  Use of the Saf-T-Pexy system is a simple and efficient method for gastropexy involving placement of gastrostomy tubes that significantly reduces the number of postoperative complications.
authors.affiliation: 1 Department of Neonatal Surgery, Municipal Pediatric Hospital , Irkutsk, Russia .|2 Department of Pediatric Surgery, Irkutsk State Medical Academy of Continuing Education , Irkutsk, Russia .
authors.forename: Yury
authors.initials: Y
authors.lastname: Kozlov
authors.affiliation: 1 Department of Neonatal Surgery, Municipal Pediatric Hospital , Irkutsk, Russia .|2 Department of Pediatric Surgery, Irkutsk State Medical Academy of Continuing Education , Irkutsk, Russia .|3 Department of Pediatric Surgery, Irkutsk State Medical University , Irkutsk, Russia .
authors.forename: Vladimir
authors.initials: V
authors.lastname: Novozhilov
authors.affiliation: 4 Municipal Pediatric Clinical Hospital , Kemerovo, Russia .
authors.forename: Konstantin A
authors.initials: KA
authors.lastname: Kovalkov
mesh_terms: D004750:Enteral Nutrition / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D059485:Gastropexy / Q000295:instrumentation / Q000379:methods*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology