13. What is the surgical treatment for congenital hypertrophic pyloric stenosis? What is the prognosis?
Correct answer:
Ramstedt’s pyloromyotomy. A longitudinal incision is made through the hypertrophied muscle and the cut edges are separated. The infant is given glucose water 3 hours after the operation and this is followed by 3 hourly milk feeds, which are steadily increased in amount. Results are excellent and the mortality is extremely low.
