Abstract
Buttress reinforcement of a primary esophageal repair after perforation may diminish the potential for breakdown or leakage of the approximation. We describe a method of reinforcing a primary esophageal repair by using pleural tissue that is secured in place with an extrapleural, soft T-tube attached to a suction device. This technique is simple to apply and may maximize recovery of respiratory function by permitting timely removal of chest tubes.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Abbott O. A., Mansour K. A., Logan W. D., Jr, Hatcher C. R., Jr, Symbas P. N. Atraumatic so-called "spontaneous" rupture of the esophagus. A review of 47 personal cases with comments on a new method of surgical therapy. J Thorac Cardiovasc Surg. 1970 Jan;59(1):67–83. [PubMed] [Google Scholar]
- Bryant L. R., Eiseman B. Experimental evaluation of intercostal pedicle grafts in esophageal repair. J Thorac Cardiovasc Surg. 1965 Nov;50(5):626–631. [PubMed] [Google Scholar]
- Cameron J. L., Kieffer R. F., Hendrix T. R., Mehigan D. G., Baker R. R. Selective nonoperative management of contained intrathoracic esophageal disruptions. Ann Thorac Surg. 1979 May;27(5):404–408. doi: 10.1016/s0003-4975(10)63335-8. [DOI] [PubMed] [Google Scholar]
- Dooling J. A., Zick H. R. Closure of an esophagopleural fistula using onlay intercostal pedicle graft. Ann Thorac Surg. 1967 Jun;3(6):553–557. doi: 10.1016/s0003-4975(10)66464-8. [DOI] [PubMed] [Google Scholar]
- Grillo H. C., Wilkins E. W., Jr Esophageal repair following late diagnosis of intrathoracic perforation. Ann Thorac Surg. 1975 Oct;20(4):387–399. doi: 10.1016/s0003-4975(10)64235-x. [DOI] [PubMed] [Google Scholar]
- HOPPER C. L., BERK P. D., HOWES E. L. Strength of esophageal anastomoses repaired with autogenous pericardial grafts. Surg Gynecol Obstet. 1963 Jul;117:83–86. [PubMed] [Google Scholar]
- Jones W. G., 2nd, Ginsberg R. J. Esophageal perforation: a continuing challenge. Ann Thorac Surg. 1992 Mar;53(3):534–543. doi: 10.1016/0003-4975(92)90294-e. [DOI] [PubMed] [Google Scholar]
- Maroney T. P., Ring E. J., Gordon R. L., Pellegrini C. A. Role of interventional radiology in the management of major esophageal leaks. Radiology. 1989 Mar;170(3 Pt 2):1055–1057. doi: 10.1148/radiology.170.3.2916056. [DOI] [PubMed] [Google Scholar]
- Matthews H. R., Mitchell I. M., McGuigan J. A. Emergency subtotal oesophagectomy. Br J Surg. 1989 Sep;76(9):918–920. doi: 10.1002/bjs.1800760915. [DOI] [PubMed] [Google Scholar]
- Michel L., Grillo H. C., Malt R. A. Operative and nonoperative management of esophageal perforations. Ann Surg. 1981 Jul;194(1):57–63. doi: 10.1097/00000658-198107000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Millard A. H. 'Spontaneous' perforation of the oesophagus treated by utilization of a pericardial flap. Br J Surg. 1971 Jan;58(1):70–72. doi: 10.1002/bjs.1800580115. [DOI] [PubMed] [Google Scholar]
- Orringer M. B., Stirling M. C. Esophagectomy for esophageal disruption. Ann Thorac Surg. 1990 Jan;49(1):35–43. doi: 10.1016/0003-4975(90)90353-8. [DOI] [PubMed] [Google Scholar]
- Rao K. V., Mir M., Cogbill C. L. Management of perforations of the thoracic esophagus: a new technic utilizing a pedicle flap of diaphragm. Am J Surg. 1974 May;127(5):609–612. doi: 10.1016/0002-9610(74)90329-8. [DOI] [PubMed] [Google Scholar]
- Schorlemmer G. R., Burns W. W., Buckwalter J. A. Extrapleural exclusion of esophageal perforations. South Med J. 1984 Dec;77(12):1609–1610. doi: 10.1097/00007611-198412000-00042. [DOI] [PubMed] [Google Scholar]
- THAL A. P., HATAFUKU T. IMPROVED OPERATION FOR ESOPHAGEAL RUPTURE. JAMA. 1964 Jun 1;188:826–828. doi: 10.1001/jama.1964.03060350052018. [DOI] [PubMed] [Google Scholar]
- Urschel H. C., Jr, Razzuk M. A., Wood R. E., Galbraith N., Pockey M., Paulson D. L. Improved management of esophageal perforation: exclusion and diversion in continuity. Ann Surg. 1974 May;179(5):587–591. doi: 10.1097/00000658-197405000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
