title: [The pleural wrap in the thoracic esophageal perforation].
abstract: The thoracic esophageal perforations frequently complicate with fistula when submitted to primary suture. The use of autogenous tissues, like pleura, to reinforce the primary suture has proved to be useful in reduce the incidence of fistulas or at least the severity of the leaks in case they occur. The mortality has reduced too, consequently. A case of an extensive esophageal perforation is presented, where the use of pleural wrap to reinforce the esophagography was very important to contain the leak and to permit a good evolution of the patient.
authors.affiliation: Clínica Cirúrgica, Hospital Getúlio Vargas, Teresina, PI, BR. domderi@hotmail.com
authors.forename: Aderivaldo Coelho de
authors.initials: AC
authors.lastname: Andrade
authors.forename: Zenon
authors.initials: Z
authors.lastname: Rocha Filho
authors.forename: Valrian Campos
authors.initials: VC
authors.lastname: Feitosa
authors.forename: Jocerlano Santos de
authors.initials: JS
authors.lastname: Sousa
authors.forename: Luiz Joaquim Fonseca Marinho
authors.initials: LJ
authors.lastname: Filho
mesh_terms: D000328:Adult; D013505:Digestive System Surgical Procedures / Q000379:methods; D004939:Esophageal Perforation / Q000601:surgery*; D006801:Humans; D008297:Male; D010994:Pleura / Q000637:transplantation; D013524:Surgical Flaps