A new approach for the salvage of unsuccessful esophageal atresia repair: a spiral myotomy and delayed definitive operation.
A staged approach consisting of (1) spiral myotomy (2 1/2 revolutions) to elongate the proximal esophagus with its distal end forming a cutaneous esophagostomy in the anterior chest, and (2) delayed reconstruction of the esophagus with an end-to-end anastomosis, has been successfully employed in a 1-year-old infant who had undergone an unsuccessful repair of tracheoesophageal atresia during the neonatal period.
Department of Surgery, Kobe Children's Hospital, Japan.
K
K
Kimura
E
E
Nishijima
C
C
Tsugawa
Y
Y
Matsumoto
D000714:Anastomosis, Surgical / Q000379:methods; D004933:Esophageal Atresia / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D007223:Infant; D008722:Methods; D012086:Reoperation; D014138:Tracheoesophageal Fistula / Q000601:surgery*