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Ramstedt's operation

Authoring team

Ramstedt's procedure is used in the treatment of infantile pyloric stenosis.

Procedure:

  • child is placed under general anaesthesia
  • the operation is preceded by gastric lavage and carried out under continuous nasogastric aspiration
  • a longitudinal incision is made through the hypertrophied muscle as far as the mucosa; the mucosa is left intact and is seen bulging into the incision
  • the cut edges are separated

Post-operative feeding begins after 3 hours, initially with glucose-water followed by 3 hourly milk feeds.

Complications:

  • gastro-enteritis: this is common is the debilitated child and may indicate a breakdown in aseptic feeding techniques
  • peritonitis from perforation through the mucosa
  • bleeding from the incision
  • residual stenosis: may require repeated surgery and division of remaining muscle fibres
  • wound infection and postoperative pyrexia
  • burst abdomen

Results are good and mortality is very low.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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