PROTOCOL FOR THE MANAGEMENT OF HYPERTROPHIC PYLORIC STENOSIS - Zouari, Mohamed; Ben Dhaou, Mahdi; Mhiri, Riadh
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Aims of the work:- To study the epidemiological, clinical and therapeutic features of our patients operated for SHP.- To compare the sub-costal approach and the umbilical approach.- To propose a protocol for the management of HPS.Methods: We performed a retrospective study of 90 infants operated for hypertrophic pyloric stenosis, at the pediatric surgery department of Sfax, during the period from January 1, 2013 to October 31, 2017.Results: We found a mean age at admission of 39.3 days with a sex ratio of 3.7. Typical food vomiting was noted in 85.6% of. Clinical examination showed a palpable…mehr

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Produktbeschreibung
Aims of the work:- To study the epidemiological, clinical and therapeutic features of our patients operated for SHP.- To compare the sub-costal approach and the umbilical approach.- To propose a protocol for the management of HPS.Methods: We performed a retrospective study of 90 infants operated for hypertrophic pyloric stenosis, at the pediatric surgery department of Sfax, during the period from January 1, 2013 to October 31, 2017.Results: We found a mean age at admission of 39.3 days with a sex ratio of 3.7. Typical food vomiting was noted in 85.6% of. Clinical examination showed a palpable pyloric olive in 23.3%, hypotrophy in 72.2%, and ultrasound confirmed the diagnosis in 96.6% of cases. The surgical approach was subcutaneous in 25.6% and umbilical in 74.4%. The comparative study showed that the operating time by sub-costal incision was shorter than that by umbilical incision.Conclusion: Hypertrophic pyloric stenosis is a benign condition. It must remain so by an early and adapted diagnostic and therapeutic management.
Autorenporträt
Mohamed Zouar, asistente del Hospital Universitario del Departamento de Cirugía Pediátrica (CHU Hedi Chaker de Sfax) y de la Facultad de Medicina de Sfax, Túnez. Miembro del Comité Editorial de la Revista "Revista Iraní de Hematología y Oncología Pediátrica".