Operative technique: single-incision gastrostomy in pediatric patients

Abstract

Dayang A Aziz,1 Mahmud M Nor21Paediatric Surgery Unit, Department of Surgery, UKM Medical Centre, Bandar Tun Razak, Jalan Yaacob Latif, Cheras, Kuala Lumpur, Malaysia; 2Department of Surgery, Universiti Sains Islam Malaysia, Kuala Lumpur, MalaysiaIntroduction: Use of minimally invasive techniques for gastrostomy insertion in children is well documented. Laparoscopic placement is fast becoming the method of choice. However, it is important to note that there are still many centers in developing and under-developed countries in which laparoscopic or endoscopic facilities are not readily available.Methods: Here, we describe a less than 2 cm, single-incision open gastrostomy technique successfully performed on seven infants and one child who were all malnourished. A nasogastric tube was inserted to assist the technique.Results: All patients had a wound measuring less than 2 cm. Mean operating time was 30 minutes. Gastrostomy tube feeding was established after 6 hours post-surgery. No complications occurred in any of the patients.Conclusions: This technique is an excellent minimally invasive approach. It is simple, safe, and feasible.Keywords: minimally invasive, laparoscopic placement, children, single incision