title: Successful treatment of esophageal repair with omentum for the spontaneous rupture of the esophagus (Boerhaave's syndrome).
abstract: Spontaneous rupture of the esophagus (Boerhaave's syndrome) is a critical disease. Most patients should undergo surgery for primary closure and drainage of the mediastinum and thorax. We treated a total of 7 cases of spontaneous rupture of the esophagus between December 2000 and August 2007. The time delay was 3 hours to 4 days (mean 16.7 hours) and the length of longitudinal tears ranged from 3 to 10cm (mean: 5.6cm). All cases underwent pedicled omental flap repair to reinforce the suture line. We introduced our technique by pedicled omental flap for successful treatment.
authors.affiliation: Department of Surgery II, Oita University, Oita, Japan. yamashi1@med.oita-u.ac.jp
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Yamashita
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Takeno
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Moroga
authors.forename: Mirei
authors.initials: M
authors.lastname: Kamei
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Ono
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Katsunobu
authors.initials: K
authors.lastname: Kawahara
mesh_terms: D000328:Adult; D000368:Aged; D004939:Esophageal Perforation / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007564:Japan; D007902:Length of Stay; D008297:Male; D008477:Mediastinal Diseases / Q000601:surgery*; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D020775:Thoracic Surgery, Video-Assisted; D013908:Thoracotomy; D013997:Time Factors; D016896:Treatment Outcome; D004935:Esophageal Diseases; D012422:Rupture, Spontaneous; D000072663:Spontaneous Perforation