Which management strategy is the treatment of choice for hypertrophic pyloric stenosis?
Surgical Care Ramstedt pyloromyotomy remains the standard procedure of choice for hypertrophic pyloric stenosis because it is easily performed and is associated with minimal complications. The usual approach is via a right upper quadrant transverse incision that splits the rectus muscle and fascia.
What are the nursing care plan of pyloric stenosis?
The major nursing care planning goals for a child with pyloric stenosis are: Improving nutrition and hydration. Maintaining mouth and skin integrity. Relieving family anxiety.
What is pyloric stenosis and how is it treated?
This condition, pyloric stenosis, makes it hard for food and liquid to pass through. Babies may then vomit and become dehydrated or malnourished. Surgery for pyloric stenosis usually provides relief. Called pyloromyotomy, the treatment opens the muscle to restore the food’s path.
What is the position of pyloromyotomy?
Figure 46–1C: An open pyloromyotomy is performed using a right upper quadrant or umbilical skin incision. Right upper quadrant incision: a transverse incision is made directly over the right rectus muscle midway between the xiphoid and umbilicus.
How do you scan for pyloric stenosis?
To assess for pyloric stenosis, first measure the muscular layer of pylorus in longitudinal and transverse views. > 3mm thickness raises concern for hypertrophy. Then measure the length of the pyloric canal. There is a range in the radiology literature for abnormal pyloric channel length from >15 to 19 mm.
Why is potassium low in pyloric stenosis?
Pyloric stenosis usually results in metabolic alkalosis with associated hypochloremia and hypokalemia due to a loss of hydrogen and chloride ions from vomiting gastric contents.
What are the complications of pyloric stenosis?
Complications
- Failure to grow and develop.
- Dehydration. Frequent vomiting can cause dehydration and a mineral (electrolyte) imbalance.
- Stomach irritation. Repeated vomiting can irritate your baby’s stomach and may cause mild bleeding.
- Jaundice.
How is a pyloromyotomy performed?
In pyloromyotomy, the surgeon cuts only through the outside layer of the thickened pylorus muscle, allowing the inner lining to bulge out. This opens a channel for food to pass through to the small intestine. Pyloromyotomy is often done using minimally invasive surgery.
What causes hypertrophic pyloric stenosis?
The causes of pyloric stenosis are unknown, but genetic and environmental factors might play a role. Pyloric stenosis usually isn’t present at birth and probably develops afterward.
What is the purpose of a pyloromyotomy?
In surgery to treat pyloric stenosis (pyloromyotomy), the surgeon makes an incision in the wall of the pylorus. The lining of the pylorus bulges through the incision, opening a channel from the stomach to the small intestine.
What is the root operation for laparoscopic pyloromyotomy?
Dilation
The root operation Dilation is coded when the objective of the procedure is to enlarge the diameter of a tubular body part or orifice. Dilation includes both intraluminal or extraluminal methods of enlarging the diameter.