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KMID : 0364019930260040325
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Korean Journal of Thoracic and Cardiovascular Surgery
1993 Volume.26 No. 4 p.325 ~ p.328
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Surgical Treatment of Potoperative Esophageal leakage with Pedicled Omental Flap
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Abstract
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The pedicled omental flap has been used for treatment of various kind of complications in thoraxcic surgery. Its porperty of promoting neovascularization, immunilogic properties that limiting the spread of infection, providing soft tissue
coverage
are
very effective treatment esophageal fistulas.
Also, congenital broncho-esophageal fistula(BEF) is a rare disease entity which was reported about 100 cases around the world.
We experienced 27 years old female patient with Braimbridge type I congenital BEF. We performed division of BEF using stapler and pericardial patch coverage of esophageal side with concomittent left lower lobectomy. This patients was complicated
with
postoperative esophageal leakage with empyema thoracis.
We have successfully managed these problems with re-thoracotomy and re-closure of esophageal fistula using Right Gastroepiploic Artery based pedicled omental flap wrapping around the esophageal anastomosis site.
It is felt that pedicled omental flap is a very effective method to manage esophageal complication such as postoperative esophageal leakage. (Korean J Thoracic Cardiovas Surg 1994; 27:325-328)
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