Neck esophagus perforation repair

Treatment of diseases: foreign body esophageal perforation esophageal perforation Indication Cervical esophageal perforation repair is applicable to: The perforation of the esophagus in the neck can be repaired in the first stage of suture within 24 hours. Preoperative preparation 1. Fasting and placing the nasogastric tube for decompression. The injured person should spit out saliva and oral secretions as much as possible, use antibiotic liquid to gargle, keep the mouth clean, so as to prevent a large amount of oral secretions containing bacteria from flowing into the mediastinum or chest cavity, which aggravates the infection. 2. Patients with liquid-chest chest should be placed with closed thoracic drainage before surgery. 3. Blood transfusion, infusion, maintenance of water and electrolyte balance. 4. Give large doses of broad-spectrum antibiotics. Surgical procedure Anesthesia and position Tracheal intubation for general anesthesia. The patient's supine shoulder is raised, the head is biased to the right, and the left neck is exposed. Surgical procedure 1. The left sternocleidomastoid incision on the left side of the incision. 2. Cut the scapula and thyroid veins. The thyroid and common carotid sheath were retracted to both sides, the esophagus was freed, and the perforation site was found. If the perforation is not easy to find, a small amount of methylene blue or air can be injected through the nasogastric tube. 3. Clean the esophageal rupture, and trim the edge of the esophageal rupture. Use the unabsorbed suture to suture the suture, and sew the nearby part of the sternocleidomastoid or scapular humerus muscle to the repairing site. 4. Place a drainage strip near the esophageal repair through the incision.

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