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Pyloric stenosis

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Pyloric stenosis is an uncommon condition in infants that blocks food from entering the small intestine. Normally, a muscular valve (pylorus) between the stomach and small intestine holds food in the stomach until it is ready for the next stage in the digestive process. In pyloric stenosis, the pylorus muscles thicken and become abnormally large, blocking food from reaching the small intestine. Pyloric stenosis can lead to forceful vomiting, dehydration and weight loss. Babies with pyloric stenosis may seem to be hungry all the time. Surgery cures pyloric stenosis Symptoms Signs include: Vomiting after feeding. The baby may vomit forcefully, ejecting breast milk or formula up to several feet away (projectile vomiting). Vomiting might be mild at first and gradually become more severe as the pylorus opening narrows. The vomit may sometimes contain blood. Persistent hunger. Babies who have pyloric stenosis often want to eat soon after vomiting. Stomach contractions. You may notice wa...
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Horizontal Mattress Suture

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. Indications High tension wound support Pull wound edges together over significant distance Holding  Suture  (anchor wound edges together) Holds fragile or thin skin together Using 6-0  Suture  at digit web space or  Eyelid Hemostatic effect (e.g. scalp) III. Contraindications: Relative Areas at risk for scarring (e.g. face) IV. Advantages Optimizes wound edge eversion Increased closure strength (distributes tension) Spreads tension along wound edge V. Technique Background Use non- Absorbable Suture Four landmark sites (2 on each side of the wound) Points form a rectangle across lesion Each point is 4-8 mm from wound edge Two points parallel to lesion on right (east) side Point 1 at southeast corner of  Laceration Point 4 at northeast corner (2-4 mm north of 1) Two points parallel to lesion on left (west) side Point 2 at southwest corner of  Laceration Point 3 at northwest corner (2-4 mm north...
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