Pyloromyotomy through circumumbilical incision.

Twenty-two infants suffering from infantile hypertrophic pyloric stenosis underwent Ramstedt's pyloromyotomy using circumumbilical incision. There was no difficulty in delivering the pylorus out of the incision. Three patients developed wound infection, one patient developed wound dehiscence at the fascial plane and one patient developed stitch sinus. No incisional hernias were noted after a follow-up period ranging from 2 months to 4 years (mean 27 months). All scars were neat except that of the patient who developed wound dehiscence at the fascial plane and another who developed stitch sinus. This incision is cosmetic and gives access that is almost comparable to other incisions without a significant increase in the morbidity rate.