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Abstract Infantile hypertrophic pyloric stenosis (IHPS) is the most common surgical disorder producing emesis in infancy with incidence of 1 per 300 live births. Male to female ratio is 4: 1. Age of incidence is 3-6 weeks. Diagnosis of IHPS is mainly clinical with little assistance of ultrasound. Rammestedt pyloromyotomy is a safe and effective procedure and it is the treatment of choice in this condition. Our results shows a significant difference between the two techniques of pyloromyotomy regarding operative duration, being longer in ICP as it require some skill, and in post operative full oral feeding tolerance , being rapid in ICP and this is secondary to lesser exposure of pylorus to outside environment. There is no significant difference regarding wound extension possibility and postoperative hospital stay. Still more cases of IHPS are needed for further study of both techniques and for increasing learning curve. |