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One hundred and twenty infants with infantile hypertrophic pyloric stenosis were operated on by two consultant general surgeons over a 13-year period. General anaesthetic and a standard surgical approach was used in all cases. No mortality was recorded and there were no wound dehiscences. The overall postoperative wound infection rate was 9.2%. Prior to 1985 the infection rate was 15%. Following attention to a number of details including care of the umbilicus, the incidence decreased after 1985 to 4%. The most common postoperative complication was vomiting, which occurred in 25% of infants. There was one negative laparotomy in the 13-year study period. Two children required a second procedure for persistent vomiting. The argument in favour of specialisation in managing this condition is questioned along with the need for intensive diagnostic investigation.
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
November 2002,
Annals of the Royal College of Surgeons of England,
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
July 1996,
The New Zealand medical journal,
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
August 1986,
Journal of the Royal Society of Medicine,
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
November 2010,
European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie,
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
June 1985,
Journal of pediatric surgery,
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
April 1991,
Journal of the Royal College of Surgeons of Edinburgh,
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
January 1982,
Nursing times,
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
June 1959,
The Journal of the International College of Surgeons,
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
November 1981,
The British journal of surgery,
J M O'Donoghue, and
D M O'Hanlon, and
M M Gallagher, and
K D Connolly, and
J Doyle, and
J R Flynn
November 2013,
Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen,
