G Qasaimeh | PubMed Health

PubMed1992

Pyloromyotomy through circumumbilical incision.

Twenty-two infants suffering from infantile hypertrophic pyloric stenosis underwent Ramstedt's pyloromyotomy using circumumbilical incision. There was no difficulty in delivering the pylorus out of the incision. Three patients developed wound infection, one patient developed wound dehiscence at the fascial plane and one patient developed stitch sinus. No incisional hernias were noted after a follow-up period ranging from 2 months to 4 years (mean 27 months). All scars were neat except that of the patient who developed wound dehiscence at the fascial plane and another who developed stitch sinus. This incision is cosmetic and gives access that is almost comparable to other incisions without a significant increase in the morbidity rate.

Female↗

PubMedDate not supplied

True caecal diverticulitis.

Nine patients (six females and three males), median age = 27.5 years (range 13-36) with caecal diverticulitis are presented. All underwent surgery with a suspected diagnosis of acute appendicitis. Per-operative diagnosis was possible in five cases, two cases were thought to have other benign pathology, but malignancy could not be excluded in the remaining two cases. Local excision was carried out in five cases, a right hemicolectomy was performed in the rest. Histology showed true diverticuli in eight cases, severity of the inflammation made it difficult to comment on the ninth case. Postoperative barium enema was carried out in six cases, which showed no further diverticuli in the colon. We conclude that preoperative diagnosis of caecal diverticulitis is difficult, and that true solitary caecal diverticuli present in a younger age group than the false caecal and ascending colon diverticuli and that they are probably congenital in origin.

Acute Disease↗