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Mucosal injury during pyloromyotomy: A report of three cases and review of literature
Partha Mondal1, Sharmistha Choudhury2, Partha Chakraborty3, Pankaj Halder3
1 Department of General Surgery, R. G. Kar Medical College, Kolkata, West Bengal, India
2 Department of Pediatric Medicine, R. G. Kar Medical College, Kolkata, West Bengal, India
3 Department of Pediatric Surgery, R. G. Kar Medical College, Kolkata, West Bengal, India
Correspondence Address:
Pankaj Halder,
Saroda Palli, Baruipur, Kolkata - 700 144, West Bengal
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/mjdrdypu.mjdrdypu_930_21
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Mucosal perforation/injury during pyloromyotomy is a rare and frantic complication. The classical technique of repair is a full-thickness approximation (both mucosal repair and serosal repair) and re-pyloromyotomy at the opposite site. Alternatively, the simple primary mucosal repair is also reported. Such mucosal injury can be repaired with equal efficacy using both the classical full-thickness repair and pyloric rotation and primary closure technique in terms of complications and outcome. Here, we describe three cases of iatrogenic mucosal injury, which were treated successfully by full-thickness repair in two cases and one case with a primary mucosal repair.
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