title: Use of "Gore-Tex surgical membrane" to minimize surgical adhesions in multistaged extrathoracic esophageal elongation for esophageal atresia.
abstract: The procedure of choice in the surgical correction of "long gap" esophageal atresia should, when possible, preserve the native esophagus. We present a modification of "the multistaged extrathoracic esophageal elongation method," designed to facilitate esophageal elongation and use of a Gore-Tex (W.L. Gore and Associates, Flagstaff, AZ) surgical membrane to minimize surgical adhesions. We used this technique to successfully treat a 1-kg infant, with type A esophageal atresia, associated aortic coartation, and severe necrotizing enterocolitis with multiple perforations. Multistaged extrathoracic esophageal elongation was begun at the age of 9 months and concluded at 17 months.
authors.affiliation: Institute of Clinica Chirurgica, Unit of Pediatric Surgery, University of Sassari, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Dessanti
authors.forename: G
authors.initials: G
authors.lastname: Caccia
authors.forename: M
authors.initials: M
authors.lastname: Iannuccelli
authors.forename: G
authors.initials: G
authors.lastname: Dettori
mesh_terms: D020345:Enterocolitis, Necrotizing / Q000601:surgery; D004933:Esophageal Atresia / Q000601:surgery*; D004935:Esophageal Diseases / Q000517:prevention & control; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000601:surgery; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures; D000267:Tissue Adhesions / Q000517:prevention & control
chemical_list: D011138:Polytetrafluoroethylene