Perioperative Complications of Surgery for Hypertrophic Pyloric Stenosis

Eur J Pediatr Surg. 2018 Apr;28(2):171-175. doi: 10.1055/s-0038-1637016. Epub 2018 Mar 6.

Abstract

Pyloromyotomy is the tried and tested surgical procedure for successful operative treatment of pyloric stenosis. Over time, the operative approach has evolved to take advantage of cosmetically superior incisions and more recently minimally invasive surgery. During and following surgery, complications are uncommon. The specific complications of an inadequate pyloromyotomy requiring repeated procedure and mucosal perforation during an overzealous pyloromyotomy represent the ends of a spectrum within which sits the perfect procedure. Here, we discuss these specific complications together with the other potential complications following surgery for hypertrophic pyloric stenosis, including anesthetic considerations.

Publication types

  • Review

MeSH terms

  • Anesthesia
  • Humans
  • Infant
  • Infant, Newborn
  • Intraoperative Complications*
  • Laparoscopy / adverse effects
  • Postoperative Complications*
  • Pyloric Stenosis, Hypertrophic / surgery*
  • Pyloromyotomy / adverse effects*