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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 TECHNICAL INNOVATION
Year : 2017  |  Volume : 22  |  Issue : 3  |  Page : 187-188

Simple technique of bridging wide gap in esophageal atresia with tracheoesophageal fistula – “surgical innovation”


Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
A K Sharma
K- 51, Income Tax Colony, Tonk Road, Durgapura, Jaipur, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.JIAPS_220_16

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The survival of the patients with esophageal atresia an tracheo esophageal fistula is believed to be an epitome of the success of the neonatal surgery. Restoring the continuty of the food pipe by esophagus to esophagus anastomosis is the best option. Preservation of natural esophagus by delayed repair in a wide gap esophageal atresia is a preferred technique worldwide, however such a management required prolonged hospitalization and dedicated nursing care, which is often not available in most of the centres in India. Esophageal substitutes in wide gap requires multiple operations and have long term problems, so remains the last option. I use the technique of oblique anastomosis which had distrinct advantage over circular anastomosis in the management of esophageal atresia1.This techniqe helps in bridging wide gap to some extent & minimal stricture formation.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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