Posterior Tracheopexy during Primary Esophageal Atresia Repair
▶Ep 5 · 0:41
clinicalAt bronchoscopy, you can assess the site of the TE fistula and whether it's more an anterior problem or a posterior problem.↗
▶Ep 5 · 0:41
clinicalEsophageal atresia is a foregut anomaly, so usually the trachea is also affected.↗
▶Ep 5 · 0:41
clinicalIf there is more than 2/3 lumen occlusion, especially from the posterior side, then you should consider doing posterior tracheopexy.↗
▶Ep 5 · 0:41
clinicalFour patients operated last year all had moderate to severe tracheomalacia at bronchoscopy, especially posterior membranous intrusion of the lumen.↗
▶Ep 5 · 0:41
clinicalPatients were operated during thoracoscopic esophageal atresia surgery with pexy of the posterior wall towards the spinal ligament, then anastomosis of both ends.↗
▶Ep 5 · 0:41
clinicalThe technique is done with non-absorbable suturing.↗
▶Ep 5 · 0:41
clinicalAll four patients recovered well, and none of them had any respiratory symptoms after surgery.↗
▶Ep 5 · 0:41
clinicalThis technique only takes 6 minutes per suture, and two or three sutures are placed.↗
▶Ep 5 · 0:41
quoteIf there is more than 2/3 lumen occlusion, especially from the posterior side, then you should consider doing it.↗
▶Ep 5 · 0:41
quoteThis technique only takes 6 minutes per suture, and two or three sutures are placed.↗
▶Ep 5 · 0:41
quoteEsophageal atresia is a forger anomaly, so usually the trachea is also affected.↗
▶Ep 5 · 2:24
opinionWhether routine posterior tracheopexy during primary esophageal atresia repair is right or wrong is uncertain and represents a very hot topic.↗
▶Ep 5 · 2:24
quoteI think this is, in my opinion, this is going to be a very hot topic, whether it's right or wrong. I don't have the answer to that, but it's certainly important topic to be addressing↗
Stephan's statements about Tracheomalacia13 statements
Posterior Tracheopexy during Primary Esophageal Atresia Repair
▶Ep 2 · 0:41
quoteIf there is more than 2/3 lumen occlusion, especially from the posterior side, then you should consider doing it.↗
▶Ep 2 · 0:41
clinicalEsophageal atresia is a foregut anomaly, so usually the trachea is also affected.↗
▶Ep 2 · 0:41
clinicalAt bronchoscopy, you can assess the site of the TE fistula and whether it's more an anterior problem or a posterior problem.↗
▶Ep 2 · 0:41
clinicalIf there is more than 2/3 lumen occlusion, especially from the posterior side, then you should consider doing posterior tracheopexy.↗
▶Ep 2 · 0:41
clinicalFour patients operated last year all had moderate to severe tracheomalacia at bronchoscopy, especially posterior membranous intrusion of the lumen.↗
▶Ep 2 · 0:41
clinicalPatients were operated during thoracoscopic esophageal atresia surgery with pexy of the posterior wall towards the spinal ligament, then anastomosis of both ends.↗
▶Ep 2 · 0:41
clinicalThe technique is done with non-absorbable suturing.↗
▶Ep 2 · 0:41
clinicalAll four patients recovered well, and none of them had any respiratory symptoms after surgery.↗
▶Ep 2 · 0:41
clinicalThis technique only takes 6 minutes per suture, and two or three sutures are placed.↗
▶Ep 2 · 0:41
quoteEsophageal atresia is a forger anomaly, so usually the trachea is also affected.↗
▶Ep 2 · 0:41
quoteThis technique only takes 6 minutes per suture, and two or three sutures are placed.↗
▶Ep 2 · 2:24
quoteI think this is, in my opinion, this is going to be a very hot topic, whether it's right or wrong. I don't have the answer to that, but it's certainly important topic to be addressing↗
▶Ep 2 · 2:24
opinionWhether routine posterior tracheopexy during primary esophageal atresia repair is right or wrong is uncertain and represents a very hot topic.↗