ABSTRACT
Infantile hypertrophic pyloric stenosis (IHPS) is a common surgical condition encountered in early infancy. The diagnosis is usually based on the clinical history, physical examination, ‘palpable pyloric tumor’ and ultrasonographic scanning of the abdomen. A contrast meal may be required in difficult and/or complicated presentations. Extramucosal pyloromyotomy is the standard treatment. Increasing numbers of pediatric surgeons use laparoscopy for pyloromyotomy. Compared with the open technique, laparoscopic pyloromyotomy produces less surgical trauma (forceful manipulation and bruising are avoided, significantly less peak value of stress marker – interleukin-6), earlier return to normal feed, and better cosmesis.
