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Surgical Management of Meatal Stenosis with Meatoplasty
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Published on: December 1, 2010

Infantile hypertrophic pyloric stenosis: a review of 222 cases

A J Mackay, A Mackellar

    The Australian and New Zealand Journal of Surgery
    |February 1, 1986
    PubMed

    Insights

    A review of 222 hypertrophic pyloric stenosis surgeries found no deaths but noted high rates of wound infection and vomiting. Staphylococcus Aureus was a common cause of infection, suggesting prophylaxis and delayed feeding may be beneficial.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Hypertrophic pyloric stenosis (HPS) is a common surgical condition in infants.
    • Surgical outcomes for HPS require ongoing evaluation to minimize complications.

    Purpose of the Study:

    • To review surgical outcomes for hypertrophic pyloric stenosis (HPS).
    • To identify common complications and their potential causes.

    Main Methods:

    • Retrospective review of 222 HPS cases operated between 1979-1984.
    • Analysis of surgical outcomes, including mortality, wound infection, and postoperative vomiting.
    • Microbiological analysis of infected wounds.

    Main Results:

    • No deaths occurred in 222 HPS surgeries.
    • A 7% incidence of wound infection was observed.
    • Postoperative vomiting occurred in 72% of cases.
    • Staphylococcus Aureus was identified in 62% of infected wounds.

    Conclusions:

    • While surgical mortality for HPS is low, complications like wound infection and vomiting persist.
    • Staphylococcus Aureus is a significant pathogen in HPS wound infections.
    • Prophylaxis against Staphylococcus Aureus and delayed feeding are recommended to reduce complications.

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