Primary Repair of Oesophageal Perforation, An experience of 54 cases

Method 54 patients who underwent primary repair of Oesophageal perforation from June 2002 to May 2014 were retrospectively analyzed. Patients of all ages, both sexes and benign thoracic oesophageal perforation were included. Malignant oesophageal perforation, benign cervical and abdominal esophageal perforation cases were excluded from the study. Patients were admitted through emergency department as a referred case after 12 hr of incident. Immediate management was resuscitation and chest intubation, kept in ICU. Contrast study was done after stabilization usually after one week. Procedure includes separate closure of mucosal and muscle layer by continuous suturing after refreshing the margins and buttressing the anastomotic area with intercostal muscle flap, followed by feeding jejunostomy. Feeding through jejunostomy tube started on second post-operative day, while contrast study was done on 7th post-operative day. Six months followup was done in all cases. Variable measured was postoperative leakage, stricture formation, morbidity and mortality.