HEMOSTASIS FOR THE RAMSTEDT PROCEDURE - USE OF A FIBRIN ADHESIVE

Pre- and postoperative blood counts were retrospectively compared betw een patients with no hemostatic management (group A, n = 30) and patie nts with a fibrin adhesive (Beriplast P) applied to the cut edges (gro up B, n = 8) when pyloromyotomy was performed for hypertrophic pyloric stenosis. Postoperative red blood cell count, hematocrit, and hemoglo bin were significantly decreased in group A (P <0.01) while there was no significant change in group B. It has been stated that the Ramstedt operation does not require any special hemostatic management. However , as postoperative peritoneal bleeding is suspected, hemostatic manage ment with a fibrin adhesive applied to the incised region of the seros a and muscle layer is recommended.