We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Trans-hiatal repair for Oesophageal and Junctional perforation: a case series.
- Authors
Lee, Adele H. H.; Kweh, Barry T. S.; Gillespie, Carla; Johnson, Mary Ann
- Abstract
<bold>Background: </bold>Oesophageal perforation is a life-threatening condition that requires urgent intervention. Surgical repair is recommended within 24 h of onset to minimise mortality risk, traditionally via an open thoracotomy or a laparotomy. Primary oesophageal repair via a laparoscopic trans-hiatal approach has been seldomly reported due to concerns of inadequate eradication of soilage in the mediastinum and pleural space, as well as poor access and an increased operative time in an unwell population.<bold>Case Presentation: </bold>We report a case series of 3 oesophageal and junctional perforations with varying presentations, demonstrating how the laparoscopic trans-hiatal approach can be used successfully to manage oesophageal perforations.<bold>Conclusions: </bold>Laparoscopic trans-hiatal repair is an attractive option for oesophageal and junctional perforations, in haemodynamically stable surgical candidates, in the absence of gross contamination of the thoracic cavity.
- Subjects
ESOPHAGEAL perforation; CHEST (Anatomy); THORACOTOMY
- Publication
BMC Surgery, 2020, Vol 20, Issue 1, p1
- ISSN
1471-2482
- Publication type
journal article
- DOI
10.1186/s12893-020-00702-1