|Year : 2003 | Volume
| Issue : 2 | Page : 86-90
Is retropleural drainage necessary after definitive repair of esophageal atresia and tracheoesophageal fistula?
AN Gangopadhayay, AV Apte, V Kumar, R Mongha
Department of Pediatric Surgery, Institute of Medical Sciences Banaras Hindu University, Varanasi, India
ABSTRACT: A retropleural drain after definitive repair of esophageal atresia and tracheoesophageal fistula (EA & TEF) is left by most of the surgeons to diagnose and treat anastomotic leak if it occurs in the postoperative period. Whether retropleural drainage is really necessary after doing a wide and tension free anastomosis is controversial. We operated on eight cases of EA & TEF without putting a retro pleural drain after the repair and found that all except one recovered without any complication. But those cases in whom a retropleural drain was put and had complication, did not improve even with the tube in-situ and needed some intervention. Thus a routine retropleural drain placed near the anastomosis is not necessary in all cases of EA & TEF in whom a satisfactory anastomosis had been performed without undue tension. Only complicated cases in which the anastomosis is not up to the surgeon's satisfaction need a retropleural drain as a safety mechanism to diagnose any anastomotic leak.
Department of Pediatric Surgery, Institute of Medical Sciences Banaras Hindu University, Varanasi
Source of Support: None, Conflict of Interest: None