Pyloroplasty
Principles:
[edit | edit source]- To attenuate the pyloric sphincter without perforating mucosa
- Pyloroplasty: divide the pyloric region longitudinally and sew up transversely
- Pyloromyomectomy: removing part of the muscle anteriorly
- Pyloromyotomy: dividing the muscle longitudinally
Heineke-Mikulicz pyloroplasty:
[edit | edit source]- Some surgeons leave a drain for a few days
- Start off with clear fluids and escalate