Prophylactic extrapleural chest drainage following repair of esophageal atresia: is it necessary?

Abstract:

:In a review of 110 cases of esophageal atresia (EA) and tracheoesophageal fistula (TEF), 15 patients (13.6%) developed anastomotic leakage. All patients had extrapleural surgical exposure and prophylactic extrapleural chest drainage (PEPCD). Despite this precaution, all patients with anastomotic leaks developed a pneumothorax with or without a pleural effusion. This required insertion of an additional drain in 12 (80%) cases. PEPCD following repair of EA and TEF does not appear to prevent pneumothorax or pleural effusion when anastomotic leakage occurs.

journal_name

J Pediatr Surg

authors

McCallion WA,Hannon RJ,Boston VE

doi

10.1016/0022-3468(92)90446-e

subject

Has Abstract

pub_date

1992-05-01 00:00:00

pages

561

issue

5

eissn

0022-3468

issn

1531-5037

pii

0022-3468(92)90446-E

journal_volume

27

pub_type

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