Indian Journal of Clinical Anaesthesia

Anaesthetic management of laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis: A retrospective study of 109 cases

Full Text PDF Share on Facebook Share on Twitter

Author Details: Madhavi Ravindra Nishtala, Bhargavi Sanket, Chandrika Yabagodu Ramavakoda

Volume : 3

Issue : 1

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 16

Article End Page : 19


Anaesthesia for laparoscopic pyloromyotomy poses multiple challenges. We have analysed our experience of anaesthetizing these infants by describing the perioperative events statistically in order to improve our anaesthetic technique.
Pre-operative records, demographic details, intraoperative and post operative records of all cases of laparoscopic pyloromyotomy performed over a period of 5 years in a tertiary care unit were collected and reviewed. A statistical analysis of demographic details, preoperative clinical features with emphasis on metabolic derangements, adverse events during surgery and in the post operative period was done. We observed a combined intraoperative and post operative complication rate of 20% with no occurrence of mortality.  Maximum morbidity post operatively was due to the development of emesis seen in 8 children (7.3%).

Key words:
Laparoscopy, Pyloromyotomy, Pyloric stenosis