c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Esophageal Perforation: 7

A D V E R T I S E M E N T

   
 

The perforation was closed laparoscopically with continuous PTFE suture and checked with the gastroscope. The crura was reclosed and a Nissen fundoplication was performed.       

Notes:

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Esophageal Perforation: 8

A D V E R T I S E M E N T

   
 

The patient was asymptomatic the morning following surgery, but a thin barium UGI study revealed a leak.       

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Esophageal Perforation: 9

A D V E R T I S E M E N T

   
 

The patient was returned to the operating room where a left thoracotomy through the 6th interspace was performed. The sixth rib was removed, preserving the neurovascular bundle with the intercostal muscle.       

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This page was last modified on 5/26/2000.