Use of pericardium to repair anastomotic leak after esophageal atresia surgery; experience with one case

Ying, Liyang; Gao, Zhan; Zhang, Zewei; Jiang, Qi; Wang, Wei; Liu, Xi-Wang

doi:10.5152/turkpediatriars.2017.2006

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…This case illustrates the feasibility of rapid and efficient repair of a large esophageal defect secondary to Boerhaave syndrome and complicated by transesophageal echocardiography manipulation resulting in septic shock and delayed treatment. There are occasional reports of the use of autologous pericardial tissue from the same patients to treat small esophageal perforations, however because of the large size of the defect observed in our patient, the option of using the limited size of the patient’s own pericardial tissue was not considered [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Bovine xenograft pericardial patch use for definitive single stage repair of a large esophageal defect: a case report

Shennib

Baribault

Heuser

2021

J Cardiothorac Surg

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Background Large esophageal perforations are challenging and often treated with exclusion or resection. This case demonstrates the feasibility of definitive surgical repair of a large esophageal perforation using large bovine pericardial patch. Case A patient with missed Boerhaave Syndrome underwent transesophageal echocardiography causing worsening perforation and sepsis. At thoracotomy and faced with a large esophageal defect, a large Bovine pericardial patch was used for repair with omentopexy. The patient recovered promptly and at 8 months was asymptomatic with satisfactory studies. Conclusion Xenograft pericardium is available and widely used for vascular reconstructions. It’s use for primary repair of large esophageal perforations should be considered.

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Section: Discussionmentioning

confidence: 99%

Bovine xenograft pericardial patch use for definitive single stage repair of a large esophageal defect: a case report

Shennib

Baribault

Heuser

2021

J Cardiothorac Surg

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“…Different scholars have different opinions on the treatment of anastomotic leakage. Liyang et al [12] believe that conservative measures, including continuous chest drainage and parenteral nutrition, are optimal; these measures were mainly used in children with good conditions and a small amount of leakage. Sptiz [6] and Zhao et al [9] summarized experience with the treatment of esophageal atresia and he came to the same conclusion.…”

Section: Discussionmentioning

confidence: 99%

The Value of Thoracic Lavage in the Treatment of Anastomotic Leakage After Surgery for Type III Esophageal Atresia

Cui¹,

He²,

Chen³

et al. 2020

Med Sci Monit

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The aim of this study was to define whether the addition of thoracic lavage to chest drainage was more efficient than the use of chest drainage alone in the treatment for anastomotic leaks in type III esophageal atresia. Material/Methods:The clinical data of 42 patients with anastomotic leakage treated with the addition of thoracic lavage from January 2012 to March 2019 in our hospital were analyzed retrospectively. The clinical data of 50 patients with anastomotic leakage treated without thoracic lavage from March 1999 to December 2011 in our hospital were selected as controls. Results:The duration of fistula healing, mechanical ventilation, hospitalization in intensive care unit, and gastric tube intubation in the thoracic lavage group were significantly shorter than those in the non-lavage group. The cost of hospitalization and the incidence of severe pneumonia were significantly lower in the thoracic lavage group than in the non-lavage group. The diameter of the anastomotic opening after anastomotic fistula healing was wider in the thoracic lavage group than in the non-lavage group. Conclusions:The technique of thoracic lavage is simple, economical and convenient and can effectively promote the healing of anastomotic fistulas, accelerate postoperative recovery in children and reduce the cost of treatment.

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Conservative management of major anastomotic leaks occurring after primary repair in esophageal atresia with fistula: Role of extrapleural approach

Kulshrestha

Tewari

et al. 2020

J Indian Assoc Pediatr Surg

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Use of pericardium to repair anastomotic leak after esophageal atresia surgery; experience with one case

Cited by 3 publications

References 6 publications

Bovine xenograft pericardial patch use for definitive single stage repair of a large esophageal defect: a case report

Bovine xenograft pericardial patch use for definitive single stage repair of a large esophageal defect: a case report

The Value of Thoracic Lavage in the Treatment of Anastomotic Leakage After Surgery for Type III Esophageal Atresia

Conservative management of major anastomotic leaks occurring after primary repair in esophageal atresia with fistula: Role of extrapleural approach

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