Intrathoracic esophageal perforation: The merit of primary repair
نویسندگان
چکیده
منابع مشابه
Pleural flap for delayed presentation of intrathoracic esophageal perforation.
The authors report 2 cases of large intrathoracic esophageal perforation, as a complication of foreign body in 2 boys, 4 and 9-years-old. The delay in diagnosis was more than 36 hours in both cases that were treated successfully by a large pleural flap. Postoperatively, solid oral feeding was initiated after 2 weeks. Although gastrostomy was not performed on both patients, in cases of large eso...
متن کاملRepair of esophageal perforation: a new technique.
A 39-year-old woman was admitted to our shock trauma centre for the management of abdominal and thoracic trauma caused by penetrating gunshot wounds. Thoracic and abdominal computed tomography showed multiple fractures of the spleen and hemoperitoneum, a small lesion of the upper left kidney, a fracture of the eleventh left rib and a diaphragmatic injury. Forty minutes after admission to the ho...
متن کاملPrimary esophageal repair for Boerhaave's syndrome whatever the free interval between perforation and treatment.
OBJECTIVES Boerhaave's syndrome is the most sinister cause of esophageal perforation responsible with mortality rate ranging from 20 to 30%. Combination of mediastinal contamination with microorganisms, gastric acid and digestives enzymes, long free interval between injury and initiation of treatment causes severe mediastinitis which is fatal in most untreated cases. The aim of this paper is to...
متن کاملAn analysis of esophageal stent placement for persistent leak after the operative repair of intrathoracic esophageal perforations.
BACKGROUND Surgical repair of esophageal perforation has been the mainstay of therapy for patients without associated esophageal malignancy or diffuse mediastinal necrosis. However, the leak rate after primary surgical repair is reported to range between 15% and 20% and increases to 45% and 70% in patients whose repair is delayed beyond 24 hours. This analysis reviews patients who experienced a...
متن کاملIntrathoracic Caecal Perforation Presenting as Dyspnea
Introduction. Bochdalek hernia is a congenital defect of the diaphragm that is usually diagnosed in the neonatal period and incidentally in asymptomatic adults. Small bowel incarceration in a right-sided Bochdalek hernia is exceptional for an adult. Case Presentation. A 54-year-old woman was admitted for acute dyspnea, tachycardia, hypotension, and fever. Five days before, she had been experien...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 1995
ISSN: 0022-5223
DOI: 10.1016/s0022-5223(95)70429-9