Open AccessMECHANICAL DAMAGE AND SPONTANEOUS ESOPHAGEAL PERFORATION
Author(s) -
В П Быков,
В. Ф. Федосеев,
О В Собинин,
С. Н. Баранов
Publication year - 2015
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2015-174-1-36-39
Subject(s) - mediastinitis , medicine , phlegmon , esophagus , surgery , lung abscess , perforation , empyema , abscess , pleural empyema , pericarditis , pneumonia , pneumothorax , pericardium , lung , materials science , punching , metallurgy
The article presents the results of treatment of 95 patients with iatrogenic damages and perforations caused by other reasons and spontaneous rupture of the esophagus. A defect of the esophagus was formed in thoracic part in 67,4% cases. Combined suppurative complications such as a neck phlegmon, mediastinitis, pleural empyema, pericarditis, pneumonia and lung abscess occurred in prevalent majority of patients. Surgical interventions were performed through cervical, thoracotomical and laparoscopical accesses. Different plastic methods of covering sutures of the esophagus were used in conditions of suppurative inflammation in 33 patients. An inconsistency of sutures was noted in 6 (18,2%) cases. Postoperative lethality consisted of 34,6% in spontaneous rupture of the esophagus and it was 11,9% in case of other damages.