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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 on theme: "Combination of Spit Fistula Advancement and External Traction for Primary Repair of Long-Gap Esophageal Atresia  Holger Till, MD, PhD, Udo Rolle, MD,"— Presentation transcript:

1 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 (December 2008) DOI: /j.athoracsur Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

3 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  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Postoperative contrast study.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

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