PYLOROPLASTY
What are the indications of pyloroplasty?
· In cases to avoid holding up to stomach contents.
· In patients of peptic ulcer after truncal vagotomy.
· In patients having cancer of oesophagus after total oesophagectomy to enlarge the passage of the pylorus.
Position of the patient
Suspine.
Anaesthesia given
General.
Surgical steps
· First the pylorus is located and a longitudinal incision, 3 – 5 cm on stomach side and 2.5cm on duodenal side is given cutting through the pylorus. All bleeding is controlled with ligatures.
· The longitudinal incision is sutured in a transverse direction using interrupted sutures.
Instruments used
General set, 1
Laparotomy set, 1
Fine artery forceps, 4
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