OR / Prep · Pediatric Surgery · laparoscopic
You’re scrubbing into
Ramstedt pyloromyotomy
Why are we operating?
Splitting the overgrown pyloric muscle down to (never through) the mucosa, for the hungry vomiting baby; the emergency beforehand is the chemistry, not the surgery.
Indication: Infantile hypertrophic pyloric stenosis, after full correction of the hypochloraemic alkalosis.
The operation in 4 steps
01Fluid and electrolyte correction first
02Access
03The myotomy
04Leak check and early feeding
Watch it done
Open pyloromyotomy through a transverse incision
The paediatric surgery education channel's operative footage of the Ramstedt myotomy.
Source: StayCurrentMD · Watch on YouTube
Conceptual teaching for learners preparing to observe and assist under supervision, not operative instructions. Five minutes from now you should know why this operation exists, what its shape is, and which structures it is designed not to injure.