Combination of Spit Fistula Advancement and External Traction for Primary Repair of Long-Gap Esophageal Atresia Holger Till, MD, PhD, Udo Rolle, MD,

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Presentation transcript:

Combination of Spit Fistula Advancement and External Traction for Primary Repair of Long-Gap Esophageal Atresia Holger Till, MD, PhD, Udo Rolle, MD, PhD, Werner Siekmeyer, MD, Wolfgang Hirsch, MD, PhD, John Foker, MD, PhD The Annals of Thoracic Surgery Volume 86, Issue 6, Pages 1969-1971 (December 2008) DOI: 10.1016/j.athoracsur.2008.05.056 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative contrast study. The upper pouch ends above the right clavicle as a spit fistula. The lower pouch is above the level of the diaphragm. The Annals of Thoracic Surgery 2008 86, 1969-1971DOI: (10.1016/j.athoracsur.2008.05.056) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Schematic drawing of the method. (A) Subcutaneous advancement of upper esophageal pouch. (B) Traction sutures on lower esophageal pouch. (C) Extracorporeal button for traction sutures. The Annals of Thoracic Surgery 2008 86, 1969-1971DOI: (10.1016/j.athoracsur.2008.05.056) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative contrast study. The Annals of Thoracic Surgery 2008 86, 1969-1971DOI: (10.1016/j.athoracsur.2008.05.056) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions