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Omental wrapping of esophageal rupture in combination with T-tube drainage

机译：食管破裂的网膜包裹结合T管引流

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摘要

Esophageal rupture is a potentially fatal condition. Rapid and correct diagnosis and urgent surgical treatment are mandatory. Various surgical treatment methods have been reported. We introduced a new surgical procedure for treatment of spontaneous esophageal rupture. Upon thoracotomy continuing to laparotomy, a T-tube was inserted into the esophageal lumen through the ruptured site. The ruptured esophageal wall was sutured interruptedly, and the insertion site was covered with the pedicle omental flap. The T-tube was replaced by a thinner catheter tube from postoperative day (POD) 45 and finally withdrawn on POD 66. The patient was discharged in good condition on POD 98. The procedure described here is safe and effective. It is applicable for patients restricted to minimally invasive surgery, those with poor general condition and severely infectious contamination but without a widely necrotic esophageal wall around the ruptured site.
机译：食道破裂是潜在的致命疾病。快速正确的诊断和紧急手术治疗是强制性的。已经报道了各种外科治疗方法。我们引入了一种新的外科手术方法来治疗自发性食管破裂。开胸手术继续进行剖腹手术后，将一根T型管通过破裂部位插入食管内腔。破裂的食管壁被中断缝合，插入部位被蒂蒂网膜瓣覆盖。从术后第45天开始，用较细的导管替换T型管，最后在POD 66上将其撤回。患者在POD 98上状况良好，已出院。此处描述的过程安全有效。它适用于仅限于微创手术的患者，一般状况较差且感染严重但在破裂部位周围没有广泛的坏死食管壁的患者。

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