JOURNAL OF CLINICAL SURGERY ›› 2018, Vol. 26 ›› Issue (9): 665-667.doi: 10.3969/j.issn.10056483.2018.09.007

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Application of stratified suture combined with pedicled omentum capsule in the repair of benign esophageal rupture

  

  1. Department of Thoracisurgery Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030
  • Received:2018-05-30 Online:2018-09-20 Published:2018-09-20

Abstract: [Abstract] Objective   To explore the experience and value of stratified suture combined with pedicle greater omentum transplantation in the repair of benign rupture of esophagus.Methods〖 The clinical data of 37 patients with benign rupture of esophagus with pedicled omentum were analyzed.Spontaneous esophageal rupture in 30 cases,esophageal foreign body and perforation in 7 cases.The average duration of surgery was 45 hours.The break length averaged 4.8cm.All cases were repaired by stratified suture and pedicled omentum embedding.Results37 patients were hospitalized on an average of 23.2d after operation,1 cases had fistula after operation,all the remaining cases healed well,followed up for 6~24 months,no tardive fistula and stricture of the esophagus.Conclusion  For patients with esophageal perforation or spontaneous esophageal rupture,if intrathoracic infection or esophageal edema were founded,we recommend stratified suture combined with pedicle greater omentum transplantation.

Key words: rectal cancer, haemoglobin level, restrictive transfusion, liberal transfusion, 〓 complications

[1] ZHAO Jiayun, WANG Zhigang, PAN Leyu. Effect of a restrictive transfusion practice on infectious complications after restorative surgery for rectal cancer [J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(10): 763-766.
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