A Short Note on Pyloromyotomy

Parit Cai, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, United States, Email: paritc@gmail.edu

Received: 03-Dec-2021 Published: 24-Dec-2021

Description

Pyloromyotomy is a surgical operation that involves cutting a part of the pyloric muscle fibers. This is often done when the pyloric muscle improperly stops the contents of the stomach, allowing the contents to bind up in the stomach and unable to digest. The operation is most commonly used in situations of “hypertrophic pyloric stenosis” in young children. In most cases, the treatment can be done either open or laparoscopically, and the patients usually have good outcomes with few problems. The surgeon will execute the surgery after identifying pyloric stenosis in a patient and resolving any electrolyte and fluid imbalances. The surgeon must gain access to the pylorus through the abdominal wall during this procedure. This surgery can be performed laparoscopically or openly. Once the pylorus has been accessible, the surgeon will be able to see the hypertrophied pyloric muscle. The surgeon will then carefully cut through the outer layers of tissue and the pyloric muscle to reach the mucosa, which is the tissue layer that faces the inside of the gastrointestinal tract. The surgeon will execute the surgery after identifying pyloric stenosis in a patient and resolving any electrolyte and fluid imbalances. The surgeon must gain access to the pylorus through the abdominal wall during this procedure. This surgery can be performed laparoscopically or openly. Once the pylorus has been accessible, the surgeon will be able to see the hypertrophied pyloric muscle. The surgeon will then carefully cut through the outer layers of tissue and the pyloric muscle to reach the mucosa, which is the tissue layer that faces the inside of the gastrointestinal tract.

The appropriate portion of the gastrointestinal tract is accessible in a minimally invasive manner using the laparoscopic method. When compared to the previous open procedure, this approach may be preferred due to the shorter hospital stay, faster recovery time, and higher satisfaction with the appearance of the surgical site after the patient has healed. Two to three trocars, which are medical devices that are used for abdominal wall during laparoscopic medical procedures, are usually put in the proper places. This is usually accomplished by creating a small cut in the abdomen wall for each trocar before inserting the trocar into the cut. The abdomen is then filled with a gas, such as carbon dioxide, to improve visibility and operating space with the laparoscopic device. The hypertrophied pylorus is visible when the laparoscopic equipment and camera are inserted through the trocars. Using laparoscopic equipment, the pyloric muscle is then sliced down to the mucosa and the muscle fibers are stretched apart. The two pyloric portions are then individually evaluated for proper motility. The mucosa is next examined for any unintended injury. This is accomplished by inflating the patient’s stomach and watching bubbles to form the mucosa. If a leak is discovered, it is usually fixed with sutures if it is deemed necessary. After that, all equipment and trocars are removed, and the surgical wound sites are stitched up. The appropriate part of the gastrointestinal tract is reached by making a single cut on the patient’s belly, and the pylorus and stomach are gently dragged through the opening for the surgery in the open pyloromyotomy. This approach may be adopted because it is preferred by the patient or parent, or because it is deemed more appropriate by the surgeon.