Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Use of Botulinum Toxin Type A in Esophageal Atresia Management: a Randomized, Controlled, Investigator-blinded Feasibility and Exploratory Trial in Piglets.

Scientific reports·2026
Same author

[Minimally Invasive Paediatric Thoracic Surgery in Infants, Children and Adolescents].

Zentralblatt fur Chirurgie·2026
Same author

Laparoscopic transhiatal management of a rare case of esophageal lung and medialized stomach associated with heterotaxy - a technical case report.

International journal of surgery case reports·2026
Same author

Congenital esophageal stenosis related to tracheobronchial remnant: Balloon dilatation versus resection and anastomosis - A systematic review.

Journal of pediatric surgery·2026
Same author

Pediatric cholecystectomy practices and training: an International Multicenter Survey by the European Union of Medical Specialists (UEMS) Section of Paediatric Surgery.

Pediatric surgery international·2026
Same author

Biodegradable and self-expanding metal stents in the treatment of children with strictures after esophageal atresia repair.

Esophagus : official journal of the Japan Esophageal Society·2026

Related Experiment Video

Updated: Mar 25, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
05:36

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

846

Single-incision laparoscopic pyloromyotomy: initial experience.

Oliver J Muensterer1, Obinna O Adibe, Carrol M Harmon

  • 1Department of Pediatric Surgery, Children's Hospital of Alabama, University of Alabama at Birmingham, 1600 7th Avenue South ACC 300, Birmingham, AL 35233, USA. oliver.muensterer@ccc.uab.edu

Surgical Endoscopy
|December 25, 2009
PubMed
Summary

Single-incision laparoscopic pyloromyotomy offers a safe and effective approach for infant hypertrophic pyloric stenosis, achieving excellent cosmetic outcomes. Surgeons can overcome spatial challenges with specific instrument positioning for optimal results.

More Related Videos

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
03:32

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

2.0K
Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
09:51

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

1.8K

Related Experiment Videos

Last Updated: Mar 25, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
05:36

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

846
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
03:32

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

2.0K
Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
09:51

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

1.8K

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Hypertrophic pyloric stenosis is commonly treated with laparoscopic pyloromyotomy.
  • Single-incision laparoscopic surgery (SILS) is an evolving technique that conceals incisions within the umbilicus.

Purpose of the Study:

  • To evaluate the initial experience and outcomes of single-incision laparoscopic pyloromyotomy in infants.
  • To assess the safety, feasibility, and cosmetic results of this minimally invasive approach.

Main Methods:

  • Pyloromyotomy performed via a single umbilical incision using specialized laparoscopic instruments.
  • Instruments inserted directly through fascial stab incisions, with a 4-mm endoscope and 5-mm trocar.
  • Prospective evaluation of all 15 infant patients.

Main Results:

  • Successful laparoscopic completion in 14 of 15 infants; one case required conversion due to mucosal perforation, which was repaired laparoscopically.
  • Average operative time was 29.8 minutes; average postoperative hospital stay was 1.5 days.
  • All infants tolerated full feeds and showed no postoperative complications at follow-up.

Conclusions:

  • Single-incision laparoscopic pyloromyotomy is a safe and feasible surgical option for hypertrophic pyloric stenosis.
  • The procedure yields good postoperative results and superior cosmetic outcomes.
  • Spatial orientation challenges in the confined workspace can be managed with a specific instrument and endoscope positioning strategy.