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The aim was to recruit 200 infants (100 per group); however, the data monitoring and ethics committee recommended halting the trial before full recruitment because of significant treatment benefit in one group at interim analysis.
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Comparison of open and laparoscopic pyloromyotomy
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| laparoscopic pyloromyotomy | Experimental |
| |
| open pyloromyotomy | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| laparoscopy pyloromyotomy | Procedure | laparoscopic pyloromyotomy |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Time to full feeds | 6 weeks | |
| Post operative length of stay | 6 weeks | |
| Episodes of post-operative vomiting | 24h |
| Measure | Description | Time Frame |
|---|---|---|
| Peri-operative complications | 24h | |
| Post-operative complications | 6 weeks | |
| Anaesthetic time |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nigel Hall, Mr | Institute of Child Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Child Health/Great Ormond Street Hospital | London | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19155060 | Result | Hall NJ, Pacilli M, Eaton S, Reblock K, Gaines BA, Pastor A, Langer JC, Koivusalo AI, Pakarinen MP, Stroedter L, Beyerlein S, Haddad M, Clarke S, Ford H, Pierro A. Recovery after open versus laparoscopic pyloromyotomy for pyloric stenosis: a double-blind multicentre randomised controlled trial. Lancet. 2009 Jan 31;373(9661):390-8. doi: 10.1016/S0140-6736(09)60006-4. Epub 2009 Jan 18. | |
| 22480835 |
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| ID | Term |
|---|---|
| D011707 | Pyloric Stenosis |
| ID | Term |
|---|---|
| D017219 | Gastric Outlet Obstruction |
| D013272 | Stomach Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| open pyloromytomy |
| Procedure |
open pyloromyotomy |
|
| 24h |
| Operating time | 24h |
| Post-operative pain and analgesia requirements | 6 weeks |
| Cosmetic outcome | 6 weeks |
| Total in-hospital costs | 6 months |
| Derived |
| Carrington EV, Hall NJ, Pacilli M, Drake DP, Curry JI, Kiely EM, De Coppi P, Pierro A, Eaton S. Cost-effectiveness of laparoscopic versus open pyloromyotomy. J Surg Res. 2012 Nov;178(1):315-20. doi: 10.1016/j.jss.2012.01.031. Epub 2012 Mar 27. |