This site is intended for healthcare professionals

CPD
CPD
Pro
Pro
account_circleSign in
Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Ramstedt's operation

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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.

Create an account to add page annotations

Create a free account

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.