New approach to surgical management of early eophageal thoracic perforation: Primary suture repair reinforced with absorbable mesh and fibrin glue
Date
1997
Authors
Bardaxoglou, E.
Manganas, D.
Meunier, B.
Landen, S.
Maddern, G.
Campion, J.
Launois, B.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
World Journal of Surgery, 1997; 21(6):618-621
Statement of Responsibility
Conference Name
Abstract
Esophageal perforation is a life-threatening situation and represents a major therapeutic challenge. Results have improved in recent years particularly as a result of progress in antibiotic therapy and the use of total parenteral nutrition. Surgical management retains a predominant role, involving early primary closure and thoracic drainage. We have made an addition to the surgical management by applying an absorbable mesh and fibrin glue to the repaired site. Seven patients (ages 38-79 years) were treated as described. The mean interval from leak to surgery was 28 hours. Six patients had an uneventful postoperative course with a mean hospital stay of 34 days (range 26-45 days). In one case the technique failed and the patient required an exclusion-diversion procedure. All 7 patients recovered without mortality. We believe that this technique provides a real improvement for this precarious esophageal repair.