Paraesophageal mediastinal drainage with diversion for delayed presentation of esophageal perforation.
Esophageal perforation is a serious condition; a delay of more than 48 hours in initiation of treatment leads to increased morbidity and mortality. Management of such patients is a surgical dilemma. We successfully managed 4 patients (2-iatrogenic, 1-tuberculous, 1-Boerhaave's syndrome) with delayed presentation of esophageal perforation by esophageal exclusion and paraesophageal mediastinal drainage, achieving good control of mediastinal sepsis, healing of perforation and at the same time avoiding thoracotomy and subsequent second surgery.
Thapar
V K
VK
Department of Surgery, Seth G S Medical College, Mumbai.
Prabhu
R Y
RY
Singh
A
A
Desai
C
C
George
K
K
Supe
A N
AN
D000328:Adult; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods*; D004939:Esophageal Perforation / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D004946:Esophagostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed