title: Necrotizing mediastinitis linked to Boerhaave's syndrome: a surgical approach.
abstract: We report 5 cases of Boerhaave's syndrome with necrotizing mediastinitis and pleural empyema. We chose a surgical treatment characterized by manual suture and heterologous tissue to repair esophagus rupture. This option allows a better result in terms of morbidity and mortality.
authors.affiliation: Department of Thoracic Surgery, University of L'Aquila, Teramo, Italy. duilio.divisi@aslteramo.it
authors.forename: D
authors.initials: D
authors.lastname: Divisi
authors.forename: S
authors.initials: S
authors.lastname: Di Tommaso
authors.forename: M
authors.initials: M
authors.lastname: Garramone
authors.forename: E
authors.initials: E
authors.lastname: Crisci
authors.forename: R
authors.initials: R
authors.lastname: Crisci
mesh_terms: D000368:Aged; D000818:Animals; D002417:Cattle; D003646:Debridement; D013505:Digestive System Surgical Procedures; D016724:Empyema, Pleural / Q000209:etiology / Q000601:surgery; D004750:Enteral Nutrition; D004935:Esophageal Diseases / Q000209:etiology / Q000601:surgery*; D004946:Esophagostomy; D005260:Female; D005774:Gastrostomy; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009336:Necrosis; D010289:Parenteral Nutrition, Total; D010496:Pericardium / Q000637:transplantation; D012422:Rupture, Spontaneous; D013536:Suture Techniques; D013577:Syndrome; D013907:Thoracostomy; D013908:Thoracotomy; D014183:Transplantation, Heterologous; D016896:Treatment Outcome; D014839:Vomiting / Q000150:complications*