Intercostal pedicle flap for thoracic oesophageal perforations.
Oesophageal perforations are associated with a high mortality and morbidity. Intrathoracic perforations especially are associated with mediastinitis and sepsis. The repair of these perforations may be difficult, particularly when there has been a delay to diagnosis. We report our use of a method to repair or buttress the suture line after repair with a vascularized intercostal muscle flap, having used it successfully in two patients with intrathoracic oesophageal perforations.
Alexander
P V
PV
Department of Surgery, Westmead Hospital, New South Wales, Australia.
Hollands
M
M
O'Rourke
I C
IC
Tait
N
N
D000368:Aged; D004938:Esophageal Neoplasms / Q000601:surgery; D004939:Esophageal Perforation / Q000601:surgery*; D006801:Humans; D007366:Intercostal Muscles / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery