Eur J Pediatr Surg 2018; 28(02): 171-175
DOI: 10.1055/s-0038-1637016
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Perioperative Complications of Surgery for Hypertrophic Pyloric Stenosis

Arun Kelay
1  Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom
,
Nigel J. Hall
1  Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, United Kingdom
2  University Surgery Unit, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
› Author Affiliations
Further Information

Publication History

05 February 2018

12 February 2018

Publication Date:
06 March 2018 (eFirst)

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.