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Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique

Received: 27 June 2017     Accepted: 4 July 2017     Published: 27 July 2017
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Abstract

Objective: The extra-pleural approach for the tracheoesophageal fistula is preferred by most of pediatric surgeons because the possible substantial anastomotic leak will end in a fistula rather than an empyema. The problem with this technique that it is time consuming for pleural separation and liable for pleural tears. We studied a new method for using of Foley's catheter balloon to push the pleura away from the chest wall in an easier manner and shorter time. Method: A 25 neonate with tracheoesophageal fistula was managed with the extra-pleural approach using the Foley's catheter balloon as a method of pleural separation. Results: The mean time for pleural dissection was 4.5 m (266.4 sec) with a range of 2 m, 47 sec (167 sec) - 6 m, 18 sec (378 sec). Only 4 minor pleural tears were encountered (16%) that passed smoothly. 4 Anastomotic leaks occurred that were managed conservatively and 2 mild Anastomotic strictures (8%) occurred and were managed conservatively. Conclusion: Balloon dissection is a valuable addition to management of esophageal atresia. It accomplishes pleural separation from the rib cage in short time and easy manner with nearly 0% incidence of significant pleural tears. Moreover, it improves the outcome of possible postoperative anastomotic leak without adding to the patient's morbidity or the hospital cost.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 3, Issue 3)
DOI 10.11648/j.ijcts.20170303.11
Page(s) 14-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Tracheoesophageal Fistula, Surgery, Extra-pleural, Foley's Catheter

References
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[8] Harmon CM, Coran AG. (2006) Congenital anomalies of the oesophagus. In: Grosfeld JL, O'Neill JA, Fonkalsrud EW, Coran AG, eds. Pediatric Surgery. Philadelphia: Mosby Elsevier Chapt. 67: 1051-1081.
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Cite This Article
  • APA Style

    Basem Saied Abd Elqader, Wagih Mommtaz Ghnnam. (2017). Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique. International Journal of Cardiovascular and Thoracic Surgery, 3(3), 14-17. https://doi.org/10.11648/j.ijcts.20170303.11

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    ACS Style

    Basem Saied Abd Elqader; Wagih Mommtaz Ghnnam. Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique. Int. J. Cardiovasc. Thorac. Surg. 2017, 3(3), 14-17. doi: 10.11648/j.ijcts.20170303.11

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    AMA Style

    Basem Saied Abd Elqader, Wagih Mommtaz Ghnnam. Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique. Int J Cardiovasc Thorac Surg. 2017;3(3):14-17. doi: 10.11648/j.ijcts.20170303.11

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  • @article{10.11648/j.ijcts.20170303.11,
      author = {Basem Saied Abd Elqader and Wagih Mommtaz Ghnnam},
      title = {Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {3},
      number = {3},
      pages = {14-17},
      doi = {10.11648/j.ijcts.20170303.11},
      url = {https://doi.org/10.11648/j.ijcts.20170303.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20170303.11},
      abstract = {Objective: The extra-pleural approach for the tracheoesophageal fistula is preferred by most of pediatric surgeons because the possible substantial anastomotic leak will end in a fistula rather than an empyema. The problem with this technique that it is time consuming for pleural separation and liable for pleural tears. We studied a new method for using of Foley's catheter balloon to push the pleura away from the chest wall in an easier manner and shorter time. Method: A 25 neonate with tracheoesophageal fistula was managed with the extra-pleural approach using the Foley's catheter balloon as a method of pleural separation. Results: The mean time for pleural dissection was 4.5 m (266.4 sec) with a range of 2 m, 47 sec (167 sec) - 6 m, 18 sec (378 sec). Only 4 minor pleural tears were encountered (16%) that passed smoothly. 4 Anastomotic leaks occurred that were managed conservatively and 2 mild Anastomotic strictures (8%) occurred and were managed conservatively. Conclusion: Balloon dissection is a valuable addition to management of esophageal atresia. It accomplishes pleural separation from the rib cage in short time and easy manner with nearly 0% incidence of significant pleural tears. Moreover, it improves the outcome of possible postoperative anastomotic leak without adding to the patient's morbidity or the hospital cost.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique
    AU  - Basem Saied Abd Elqader
    AU  - Wagih Mommtaz Ghnnam
    Y1  - 2017/07/27
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ijcts.20170303.11
    DO  - 10.11648/j.ijcts.20170303.11
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 14
    EP  - 17
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20170303.11
    AB  - Objective: The extra-pleural approach for the tracheoesophageal fistula is preferred by most of pediatric surgeons because the possible substantial anastomotic leak will end in a fistula rather than an empyema. The problem with this technique that it is time consuming for pleural separation and liable for pleural tears. We studied a new method for using of Foley's catheter balloon to push the pleura away from the chest wall in an easier manner and shorter time. Method: A 25 neonate with tracheoesophageal fistula was managed with the extra-pleural approach using the Foley's catheter balloon as a method of pleural separation. Results: The mean time for pleural dissection was 4.5 m (266.4 sec) with a range of 2 m, 47 sec (167 sec) - 6 m, 18 sec (378 sec). Only 4 minor pleural tears were encountered (16%) that passed smoothly. 4 Anastomotic leaks occurred that were managed conservatively and 2 mild Anastomotic strictures (8%) occurred and were managed conservatively. Conclusion: Balloon dissection is a valuable addition to management of esophageal atresia. It accomplishes pleural separation from the rib cage in short time and easy manner with nearly 0% incidence of significant pleural tears. Moreover, it improves the outcome of possible postoperative anastomotic leak without adding to the patient's morbidity or the hospital cost.
    VL  - 3
    IS  - 3
    ER  - 

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Author Information
  • Mansoura Children Hospital, Mansoura University, Mansoura, Egypt

  • Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt

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