A MODIFIED TECHNIQUE FOR PERFORMING ANTERIOR GASTROPEXY IN STAMM GASTROSTOMIES

We describe herein a new modified technique for performing the anterio r gastropexy step of the Stamm gastrostomy procedure. In this method, anterior gastropexy was carried out with four 2-0 silk or propylene su tures. These sutures were secured through the whole layer of the abdom inal wall from out to within. Then, after passing the seromuscular lay er of stomach, they return to skin through the abdominal wall from wit hin to out and tied over the skin surface. This modified technique whi ch provided better exposure and an excellent seal of the stomach and p arietal peritoneum, was successfully performed on 23 patients, none of whom developed any peritoneal leakage and peritonitis. The only compl ications that arose were wound infection in one case and skin excoriat ion in two others, and these were easily managed.