T-Tube Intubation in the Management of Late Traumatic Esophageal Perforations

Surgical Treatment of Traumatic Esophageal Perforations. Analysis of 10 Cases

“…In one patient, diagnosis was delayed because the esophagogram gave a false negative indication. In this case, which has been previously published, 37 diagnosis was made endoscopically 60 hours after the occurrence of the perforation. The other 5 patients with delayed perforation were not managed initially by the author, as they were referrals from other hospitals or surgical services.…”

Retrograde tube drainage for esophageal anastomotic leaks and perforation

“…1 In subsequent years, T-tube insertion had been reported to be a simple and effective method which avoids the postoperative complications associated with primary closure. [2][3][4][5][6][7][8][9][10] The placement of the esophageal T-tube can divert all secretions and allow time for healing of surrounding injury. The surgical T-tube drainage method had been generally used when the inflammatory reaction on the edges of the lacerated esophagus or esophageal suture line had become so severe that surgical primary suture using pleural flaps, fundic patches, or intercostal muscle buttress was considered to be impossible.…”

“…In addition to these surgical treatments, some patients were managed by inserting a T-tube. [1][2][3][4][5][6][7][8][9][10] However, in some cases, it is difficult to insert a T-tube. Herein we report three cases of esophageal perforation or leaks treated by retrograde transanastomotic esophageal sump drainage that is a modified procedure of the T-tube drainage.…”

“…Surgically, these patients underwent primary suture repair or esophagectomy. In addition to these surgical treatments, some patients were managed by inserting a T‐tube 1–10 . However, in some cases, it is difficult to insert a T‐tube.…”

Uso de colgajos musculares en las perforaciones traumáticas del esófago

“…Los colgajos musculares en este grupo de lesiones pueden ser utilizados a discreción del cirujano o en casos donde hay lesiones asociadas como la tráquea 1 o la arteria carótida 2 . En las perforaciones de manejo tardío (más de 24 horas de evolución) hay numerosas técnicas y opciones quirúrgicas [3][4][5][6] . A continuación describimos dos casos de uso de colgajo muscular pediculado de músculo esternocleidomastoideo e intercostal Figura 1.…”