Esophageal perforation and rupture repair

1. The esophagus is perforated or ruptured within 12 hours. 2. Foreign body residue affects the healer. 3. Esophageal tumor perforation. Treatment of diseases: esophageal aneurysm esophageal injury Indication 1. The esophagus is perforated or ruptured within 12 hours. 2. Foreign body residue affects the healer. 3. Esophageal tumor perforation. Preoperative preparation 1. Transnasal insertion into the gastric tube for gastrointestinal decompression. 2. Patients with severe esophageal injury should have active anti-shock treatment when they have symptoms of shock. 3. The liquid-chest chest is severe, and those with breathing difficulties should first have closed drainage. 4. Apply antibiotics to prevent infection. Surgical procedure 1. Posterolateral incision, according to the injury site, choose the intercostal space to enter the chest. 2. Free esophagus, revealing the rupture, prolonging the muscle layer, exposing it to the mucosal rupture, and suturing the esophageal mucosa and muscle layer intermittently. 3. Cover the closure with a proximal mediastinal pleural flap. 4. It can also be repaired by cutting the pedicled full-thickness iliac muscle flap to cover the suture around the gap. 5. The pleural flap can also be taken from the esophagus and the bread is wound around the front of the esophagus, and then the esophagus and pleura are sutured around the periphery of the rupture.

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