c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Pyloromyotomy: 1

A D V E R T I S E M E N T

   
 

The patient is placed supine and the abdomen is prepped.       

Notes:

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Pyloromyotomy: 2

A D V E R T I S E M E N T

   
 

There are two incision options – right upper quadrant and umbilical. The right upper quadrant incision is placed over the right rectus muscle, below the costal margin and over the edge of the liver. The umbilical incision is semi-circular over the umbilicus.      

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Pyloromyotomy: 3

A D V E R T I S E M E N T

   
 

The umbilical incision is carried down to the midline in the semicircular pattern, then the midline is opened vertically as far cephalad as needed to get the pylorus out. The pylorus is a bit more difficult to mobilize to the umbilical incision and there are a few reports of elevated post-op wound infections with this approach, but it is cosmetically superior.      

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This page was last modified on 6/28/1999.