Porcine small intestine submucosa matrix (Surgisis) for esophageal perforation.
We present a case of traumatic cervical esophageal perforation complicated by delayed diagnosis and foreign body presence successfully repaired with acellular matrix biomaterial made from porcine submucosa (Surgisis mesh [Wilson-Cook, Winston-Salem, NC]). With metal plating eroding into the esophagus from a spinal fixation procedure, the mesh was applied to the defect just under the cricopharyngeus. The patient re-commenced oral intake after 7 days, and an endoscopy at 4 weeks revealed a well-incorporated mesh in an intact esophagus with normal caliber. In this case, Surgisis mesh (Wilson-Cook) proved effective in providing temporary esophageal integrity to allow healing in an infected field where diversion was impossible.
Royal North Shore Hospital, Sydney, New South Wales, Australia. adclough@optusnet.com.au
Anthony
A
Clough
Jonathon
J
Ball
Garett S
GS
Smith
Steven
S
Leibman
D000369:Aged, 80 and over; D000818:Animals; D001705:Bioprosthesis; D002574:Cervical Vertebrae / Q000293:injuries; D057210:Delayed Diagnosis; D004939:Esophageal Perforation / Q000209:etiology* / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D007413:Intestinal Mucosa / Q000637:transplantation*; D007582:Jejunostomy; D008297:Male; D011182:Postoperative Care / Q000379:methods; D011859:Radiography; D013124:Spinal Injuries / Q000150:complications; D013128:Spinal Osteophytosis / Q000150:complications / Q000000981:diagnostic imaging; D013526:Surgical Mesh; D013552:Swine