Objective: The extra-pleural approach for the tracheoesophageal fistula is preferred by most of pediatric surgeons because the possible substantial anastomotic leak will end in a fistula rather than an empyema. The problem with this technique that it is time consuming for pleural separation and liable for pleural tears. We studied a new method for using of Foley's catheter balloon to push the pleura away from the chest wall in an easier manner and shorter time. Method: A 25 neonate with tracheoesophageal fistula was managed with the extra-pleural approach using the Foley's catheter balloon as a method of pleural separation. Results: The mean time for pleural dissection was 4.5 m (266.4 sec) with a range of 2 m, 47 sec (167 sec) - 6 m, 18 sec (378 sec). Only 4 minor pleural tears were encountered (16%) that passed smoothly. 4 Anastomotic leaks occurred that were managed conservatively and 2 mild Anastomotic strictures (8%) occurred and were managed conservatively. Conclusion: Balloon dissection is a valuable addition to management of esophageal atresia. It accomplishes pleural separation from the rib cage in short time and easy manner with nearly 0% incidence of significant pleural tears. Moreover, it improves the outcome of possible postoperative anastomotic leak without adding to the patient's morbidity or the hospital cost.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 3, Issue 3) |
| DOI | 10.11648/j.ijcts.20170303.11 |
| Page(s) | 14-17 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Tracheoesophageal Fistula, Surgery, Extra-pleural, Foley's Catheter
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APA Style
Basem Saied Abd Elqader, Wagih Mommtaz Ghnnam. (2017). Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique. International Journal of Cardiovascular and Thoracic Surgery, 3(3), 14-17. https://doi.org/10.11648/j.ijcts.20170303.11
ACS Style
Basem Saied Abd Elqader; Wagih Mommtaz Ghnnam. Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique. Int. J. Cardiovasc. Thorac. Surg. 2017, 3(3), 14-17. doi: 10.11648/j.ijcts.20170303.11
AMA Style
Basem Saied Abd Elqader, Wagih Mommtaz Ghnnam. Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique. Int J Cardiovasc Thorac Surg. 2017;3(3):14-17. doi: 10.11648/j.ijcts.20170303.11
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Download@article{10.11648/j.ijcts.20170303.11,
author = {Basem Saied Abd Elqader and Wagih Mommtaz Ghnnam},
title = {Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {3},
number = {3},
pages = {14-17},
doi = {10.11648/j.ijcts.20170303.11},
url = {https://doi.org/10.11648/j.ijcts.20170303.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20170303.11},
abstract = {Objective: The extra-pleural approach for the tracheoesophageal fistula is preferred by most of pediatric surgeons because the possible substantial anastomotic leak will end in a fistula rather than an empyema. The problem with this technique that it is time consuming for pleural separation and liable for pleural tears. We studied a new method for using of Foley's catheter balloon to push the pleura away from the chest wall in an easier manner and shorter time. Method: A 25 neonate with tracheoesophageal fistula was managed with the extra-pleural approach using the Foley's catheter balloon as a method of pleural separation. Results: The mean time for pleural dissection was 4.5 m (266.4 sec) with a range of 2 m, 47 sec (167 sec) - 6 m, 18 sec (378 sec). Only 4 minor pleural tears were encountered (16%) that passed smoothly. 4 Anastomotic leaks occurred that were managed conservatively and 2 mild Anastomotic strictures (8%) occurred and were managed conservatively. Conclusion: Balloon dissection is a valuable addition to management of esophageal atresia. It accomplishes pleural separation from the rib cage in short time and easy manner with nearly 0% incidence of significant pleural tears. Moreover, it improves the outcome of possible postoperative anastomotic leak without adding to the patient's morbidity or the hospital cost.},
year = {2017}
}
TY - JOUR T1 - Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique AU - Basem Saied Abd Elqader AU - Wagih Mommtaz Ghnnam Y1 - 2017/07/27 PY - 2017 N1 - https://doi.org/10.11648/j.ijcts.20170303.11 DO - 10.11648/j.ijcts.20170303.11 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 14 EP - 17 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20170303.11 AB - Objective: The extra-pleural approach for the tracheoesophageal fistula is preferred by most of pediatric surgeons because the possible substantial anastomotic leak will end in a fistula rather than an empyema. The problem with this technique that it is time consuming for pleural separation and liable for pleural tears. We studied a new method for using of Foley's catheter balloon to push the pleura away from the chest wall in an easier manner and shorter time. Method: A 25 neonate with tracheoesophageal fistula was managed with the extra-pleural approach using the Foley's catheter balloon as a method of pleural separation. Results: The mean time for pleural dissection was 4.5 m (266.4 sec) with a range of 2 m, 47 sec (167 sec) - 6 m, 18 sec (378 sec). Only 4 minor pleural tears were encountered (16%) that passed smoothly. 4 Anastomotic leaks occurred that were managed conservatively and 2 mild Anastomotic strictures (8%) occurred and were managed conservatively. Conclusion: Balloon dissection is a valuable addition to management of esophageal atresia. It accomplishes pleural separation from the rib cage in short time and easy manner with nearly 0% incidence of significant pleural tears. Moreover, it improves the outcome of possible postoperative anastomotic leak without adding to the patient's morbidity or the hospital cost. VL - 3 IS - 3 ER -
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