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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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Year : 2003  |  Volume : 8  |  Issue : 2  |  Page : 86-90

Is retropleural drainage necessary after definitive repair of esophageal atresia and tracheoesophageal fistula?


Department of Pediatric Surgery, Institute of Medical Sciences Banaras Hindu University, Varanasi, India

Correspondence Address:
AN Gangopadhayay
Department of Pediatric Surgery, Institute of Medical Sciences Banaras Hindu University, Varanasi
India
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Source of Support: None, Conflict of Interest: None


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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.






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

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