Port Blair, May 7: A four-week old infant was referred by a local private Pediatrician with complaints of recurrent vomiting after every breast feeding since 2 weeks. The baby was admitted in the Department of Surgery, G.B. Pant Hospital/ ANIIMS and was investigated with blood and ultrasound abdomen which showed abnormal thickening of the gastric outlet and no passage of milk into the rest of the intestine and stasis of intake milk in the stomach and the diagnosis of Idiopathic Hypertrophic Pyloric Stenosis was made.
The baby was pre-operatively prepared by giving IV fluids and nasogastric tube placement and aspiration and was taken up for major Laparoscopic Surgery. A team comprising of Surgeon Dr. Saji Vargheese and Anaesthesist, Dr. Saras Sahoo and Staff performed Surgery namely Ramstedt’s Pyloromyotomy through 3 key hole incisions, two 3 mm ports and one 5 mm port and lasting for 2 ½ hrs on 16/03/2023.
Post operatively, the baby was shifted to recovery ICU and was started oral feeds on the 2nd post-operative day and was discharged on the 4th post-operative day. The baby came for follow up after 2 weeks and is doing extremely well and is taking oral feeds like any other normal child. It is pertinent to mention that such major Laparoscopic surgeries are performed regularly in children in GB Pant Hospital which were initially referred to major super speciality hospital in mainland.