[Surgical tactics in patients with postburn cicatricial esophageal stenosis].
Surgical policy during the first years after burn was aimed at the recovery of natural nutrition. To achieve that, esophageal bougienage (503 cases) or total retrosternal esophagoplasty from the large intestine (192 cases) were performed. The authors hold that in order to attain complete medical rehabilitation for the patients, it is necessary to remove all the cicatricially changed tissues. Esophageal resection was performed in 78 patients, including 27 with preservation of the n. vagus. In the long-term postburn period, a problem arises as to the surgical correction of functional and morphological alterations associated with the establishment of artificial esophagus (80 cases including 35 patients who were operated on by S. S. Yudin). While choosing surgical policy it is necessary to take into account both the technical skills of a surgeon and the whole complex of changes in the patient's body, which have already developed and are going to develop in the future.
Abakumov
M M
MM
Pogodina
A N
AN
Sapozhnikova
M A
MA
Radchenko
Iu A
IuA
Khasileva
A F
AF
Khaliullin
A I
AI
D002057:Burns, Chemical / Q000150:complications; D002921:Cicatrix / Q000601:surgery; D004106:Dilatation; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000601:surgery*; D004944:Esophagoplasty; D006801:Humans
Khirurgicheskaia taktika u bol'nykh s posleozhogovymi rubtsovymi suzheniiami pishchevoda.