Costal cartilage grafting for repair of a recurrent tracheoesophageal fistula in a 1.6-kg baby with esophageal atresia
| Autor: | Nicollas R, Lepra Sb, Delarue A, Simeoni J, Paut O |
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| Rok vydání: | 2002 |
| Předmět: |
Primary suture
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Colon Fistula Tracheoesophageal fistula Esophagus Recurrence Pediatric surgery medicine Humans Intraoperative Complications Esophageal Atresia Esophageal disease business.industry Respiratory disease Infant Newborn General Medicine Plastic Surgery Procedures medicine.disease Costal cartilage Surgery Trachea Cartilage medicine.anatomical_structure Atresia Pediatrics Perinatology and Child Health Female business Infant Premature Tracheoesophageal Fistula |
| Zdroj: | Pediatric Surgery International. 18:162-164 |
| ISSN: | 1437-9813 0179-0358 |
| Popis: | A large intraoperative tracheal tear occurred during correction of a type III esophageal atresia in a 1,630-g premature baby. It was repaired by primary suture. Recurrence of the tracheoesophageal fistula (TEF) was treated operatively with esophageal exclusion and costal cartilage grafting (CCG) onto the tracheal defect. At 3 months of age, successful esophageal reconstruction was performed using a posterior mediastinal colonic interposition. On 27-month follow-up, the child was symptom-free and thriving. Surgical options for TEF recurrence and intraoperative management of the tracheal air leak are discussed. CCG is advocated as an attractive material for tracheal repair even in low-weight prematures. |
| Databáze: | OpenAIRE |
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