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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

Prophylactic antibiotics do not decrease the incidence of wound infections after laparoscopic pyloromyotomy.

Michael S Katz¹, Marshall Z Schwartz, Matthew L Moront

¹Department of Pediatric Surgery, St. Christopher's Hospital for Children, Philadelphia, PA 19134, USA.

Journal of Pediatric Surgery

|June 21, 2011

Summary

This summary is machine-generated.

Prophylactic antibiotics did not significantly reduce wound infections or complications in laparoscopic pyloromyotomy patients. This study suggests routine antibiotic use may not be necessary for this clean surgical procedure.

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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Area of Science:

Pediatric Surgery
Surgical Infection Prevention

Background:

Laparoscopic pyloromyotomy is generally classified as a clean surgical procedure.
Despite its classification, prophylactic antibiotics are frequently administered preoperatively by surgeons.

Purpose of the Study:

To assess the effect of prophylactic antibiotics on the incidence of wound infections following laparoscopic pyloromyotomy.
To determine if routine antibiotic prophylaxis impacts other wound complication rates in this patient population.

Main Methods:

Retrospective chart review of patients undergoing laparoscopic pyloromyotomy from August 2002 to December 2009.
Data collected included patient demographics, serum bicarbonate levels, and antibiotic administration status.
Wound infection and complication rates were compared between patients who received antibiotics and those who did not.

Main Results:

A total of 301 laparoscopic pylorotomies were analyzed, with 194 patients included in the follow-up study.
The wound infection rate was 2.7% in the antibiotic group (n=111) and 3.5% in the no-antibiotic group (n=84), with no statistically significant difference (P = .73).
Other wound complications occurred in 4.5% of the antibiotic group versus 8.3% of the no-antibiotic group (P = .27).

Conclusions:

Prophylactic antibiotic use does not significantly lower the risk of wound infection after laparoscopic pyloromyotomy.
The study indicates that routine preoperative antibiotics may not be beneficial in preventing wound complications for this procedure.