Experience 50 Cases of Infantile Hypertrophic Pyloric Stenosis Underwent Ramstids' surgery in Karbala

Background: Infantile hypertrophic pyloric stenosis is the most common cause of gastric outlet obstruction in infants. There is a paucity of published data regarding this condition in our setting. This study describes the clinical presentation, mode of treatment, and outcome of treatment for this disease, and identifies factors responsible for the poor outcome in these patients. Methods: This was a descriptive retrospective study of infants with Infantile hypertrophic pyloric stenosis admitted to hospitals in Karbala between January 1, 2020, and October 24, 2024 (50 cases, 40 males, 10 females). Results: electrolyte disturbance, including Hyponatremia, hypochloremia, Hypokalemia, and Metabolic alkalosis. Division of case number by age, including (1-2 weeks is 2), (2-6 weeks is 40), and (older than 6 weeks is 8). Clinical features presentation number, including (non-bilious projectile vomiting = 50, poor weight gain =30, and vomiting with blood = 2). Post-operative complications including surgical site infection = 5 cases, incisional hernia = 1 case, post-operative emesis = 10 cases, and death = zero. Conclusion: Infantile hypertrophic pyloric stenosis is the predominant cause of gastric outlet obstruction in newborns in our context. A guideline should be established to rectify fluid and electrolyte imbalances post-diagnosis to reduce perioperative hospital duration. Postoperatively, these patients require meticulous management in the pediatric ward, particularly during the first postoperative phase. Additional research is required in this domain to enhance the management of infants with infantile hypertrophic pyloric stenosis.