Abstract | BACKGROUND/OBJECTIVE: MATERIAL AND METHOD: The case records of 18 consecutive Meckel's diverticulum (MD) patients who were treated at Songklanagarind Hospital in Thailand between 1996 and 2005 were reviewed. RESULTS: The male-female ratio was 14-4 (3.5:1). Of the 15/18 (83.3%) symptomatic cases, presenting symptoms were bleeding 10/15 (66.7%), gut obstruction 2/15 (13.3%), peritonitis 2/15 (13.3%), and intussusception 1/15 (6.7%). All bleeding patients were children (age 1-15 years), 9/10 (90%) Meckel scan positive and 10/10 (100%) ectopic-gastic tissue. Four children underwent a circumumbilical incision. There were no perioperative or long-term complications related to the transumbilical approach. CONCLUSION: The umbilical incision has all the benefits of a minimal access approach. Umbilical incision is a safe, inexpensive, cosmetically pleasing, and easy technique. This minimally invasive surgery does not require long-term specialized training or special equipment.
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Authors | Piyawan Chiengkriwate, Sakda Patrapinyokul, Surasak Sangkhathat, Vorapong Chowchuvech |
Journal | Journal of the Medical Association of Thailand = Chotmaihet thangphaet
(J Med Assoc Thai)
Vol. 90
Issue 5
Pg. 931-5
(May 2007)
ISSN: 0125-2208 [Print] Thailand |
PMID | 17596048
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Appendectomy
(methods)
- Child
- Child, Preschool
- Female
- Humans
- Infant
- Male
- Meckel Diverticulum
(surgery)
- Minimally Invasive Surgical Procedures
- Retrospective Studies
- Umbilicus
(surgery)
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