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Chapter-34 Pyloromyotomy: Ramstedt's Operation

BOOK TITLE: General Surgical Operations

Author
1. Choudhury Dhiraj
ISBN
9788184481952
DOI
10.5005/jp/books/10324_34
Edition
1/e
Publishing Year
2008
Pages
4
Author Affiliations
1. Peerless Hospital and Ruby General Hospital, Kolkata, Peerless Hospital and Ruby General Hospital, Kolkata, West Bengal, India
Chapter keywords

Abstract

Pyloromyotomy is the standard treatment for infantile pyloric stenosis. Correction of dehydration hypochloremia and hypokalemia is important prior to surgery. The pyloric tumor is exposed by a transverse skin incision. On the anterior surface of the tumor an incision is made through serosa to split the hypertrophied muscle fibres. Watch for mucosal tear at the duodenal end which should be repaired.

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