CONGENITAL PYLORIC-STENOSIS - A MODIFIED UMBILICAL INCISION FOR PYLOROMYOTOMY

Thirty-two patients underwent a pyloromyotomy via an umbilical incisio n; in 11 a modified umbilical approach was used to facilitate delivery of the pyloric mass. Incisions are made in the skin fold of the upper half of the umbilicus and at the midline, joining the two at the top. The skin incision is closed by upper umbilical translocation with a v ery good cosmetic result. This incision allows easy access to the pylo rus and provides more convenient exposure. The absence of traction on the retractors avoids tissue ischemia, which leads to wound abscess de velopment.