What is pyloromyotomy?
pyloromyotomy is a surgical procedure performed in infants suffering from pyloric stenosis. Pyloric stenosis occurs when the muscle surrounding the lower opening of the stomach is too large and reduces the hole. This opening is known as the pylorus and the narrowing of the hole can prevent the stomach content in the small intestine transition.
pyloric stenosis is most often diagnosed in infants who have three to five months. It seems that men are more common than women. The cause is unknown, but can be inherited from a parent who suffered from a disorder. Symptoms of pyloric stenosis are strong vomiting, dehydration and constant hunger. These symptoms should not be ignored because this disorder can be very serious.
The doctor will need vomiting history and other symptoms to help diagnose. After a physical examination of the infant, the doctor may experience enlarged muscles on the stomach base. It will feel like a small node in the stomach. If pyloric stenosis is detected, pyloromyotomy is usually recommended.
Before planning pyloromyotomy surgery, the doctor can plan infants for an ultrasound test to get a look at the stomach. X -rays can also be taken, in which the child will have to drink a contrasting dye that will show blocking on the stomach base. Sometimes the abdominal contractions are visible when the stomach tries to push the food out into the small intestine. Once the diagnosis is confirmed, the operation is usually planned quickly.
For the preparation of a child for surgery, fluids must first be administered intravenously to correct any dehydration that has appeared. The pyloromyotomy procedure is performed while the child is under general anesthesia. This can be done as an open operation or as a laparoscopic procedure.
for open procedure, small incision is produced in the abdomen. The surgeon localizes the stomach base and makes one cut in the muscle surrounding the pylorus. This opens the muscles and allows the opening on thePositively expand the stomach so that the food can go through the small intestine.
Laparoscopic pyloromyotomy is more common and involves inserting a camera and surgical tools through three or four small cuts in the abdomen. As in the open procedure, pyloros surrounds in the muscle to expand the opening of the stomach. Recovery from the laparoscopic procedure should be shorter because the slices are smaller.
A small amount of food can be administered to the child several hours after the operation. There may be some vomiting after surgery, but that should stop in one day. If the parent notices that the symptoms continue for several days or that there are signs of infection, the doctor should be consulted immediately.