Technical Advancement of Esophageal Atresia Surgery Repair Type C by Tubeless

Esophageal atresia is a type of congenital anomaly in the gastrointestinal tract in which the esophagus does not develop during the fetal period and the esophageal to the gastric junction is blocked in the middle of the way and is placed like a balloon hanging behind the trachea and contains various types of anatomical defects. Congenital is rooted in fetal underdevelopment in the esophagus. Esophageal atresia is a congenital disease that is treated by surgery. Early complications may occur during the first days after surgery.

From 2003 to 2017, 70 patients with esophageal atresia underwent surgery at Bahrami Children's Hospital. Early complications escaped after surgery at the NICU and in the ward under evaluation. The mean age at surgery was 3.55 ± 2.4 days. The mean hospital stay was 12/5±3/4 and short-term complications were observed in 10 cases (14.2%).

Based on the results, 10 patients (14.2%) were observed in a total of 13 complications. The most common short-term complications in these patients were respiratory failure (5 cases), aspiration pneumonia (4 cases) and anastomotic leakage (4 cases). Another complication of the study was mediastinitis, which was not reported in any of the patients.

In the present study, which introduces the tubeless method, access to the operation site is extrapleural. The azygous vein is preserved and at the end of the operation chest tube and NGT are not used. Therefore, early postoperative complication and morbility are less and this method can be used. Suggested in the repair of esophageal atresia type c.