MECHANICAL DAMAGE AND SPONTANEOUS ESOPHAGEAL PERFORATION

The article presents the results of treatment of 95 patients with iatrogenic damages and perforations caused by other reasons and spontaneous rupture of the esophagus. A defect of the esophagus was formed in thoracic part in 67,4% cases. Combined suppurative complications such as a neck phlegmon, me...

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Main Authors: V. P. Bykov, V. F. Fedoseev, O. V. Sobinin, S. N. Baranov
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2015-02-01
Series:Вестник хирургии имени И.И. Грекова
Subjects:
Online Access:https://www.vestnik-grekova.ru/jour/article/view/8
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author V. P. Bykov
V. F. Fedoseev
O. V. Sobinin
S. N. Baranov
author_facet V. P. Bykov
V. F. Fedoseev
O. V. Sobinin
S. N. Baranov
author_sort V. P. Bykov
collection DOAJ
description The article presents the results of treatment of 95 patients with iatrogenic damages and perforations caused by other reasons and spontaneous rupture of the esophagus. A defect of the esophagus was formed in thoracic part in 67,4% cases. Combined suppurative complications such as a neck phlegmon, mediastinitis, pleural empyema, pericarditis, pneumonia and lung abscess occurred in prevalent majority of patients. Surgical interventions were performed through cervical, thoracotomical and laparoscopical accesses. Different plastic methods of covering sutures of the esophagus were used in conditions of suppurative inflammation in 33 patients. An inconsistency of sutures was noted in 6 (18,2%) cases. Postoperative lethality consisted of 34,6% in spontaneous rupture of the esophagus and it was 11,9% in case of other damages.
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publishDate 2015-02-01
publisher Pavlov First Saint Petersburg State Medical University
record_format Article
series Вестник хирургии имени И.И. Грекова
spelling doaj-art-9ad5a3425e1847e1a0ff4b913b0b3cbd2025-08-20T03:02:13ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252015-02-011741363910.24884/0042-4625-2015-174-1-36-397MECHANICAL DAMAGE AND SPONTANEOUS ESOPHAGEAL PERFORATIONV. P. Bykov0V. F. Fedoseev1O. V. Sobinin2S. N. Baranov3Arkhangelsk North State Medical UniversityArkhangelsk North State Medical UniversityArkhangelsk North State Medical UniversityArkhangelsk North State Medical UniversityThe article presents the results of treatment of 95 patients with iatrogenic damages and perforations caused by other reasons and spontaneous rupture of the esophagus. A defect of the esophagus was formed in thoracic part in 67,4% cases. Combined suppurative complications such as a neck phlegmon, mediastinitis, pleural empyema, pericarditis, pneumonia and lung abscess occurred in prevalent majority of patients. Surgical interventions were performed through cervical, thoracotomical and laparoscopical accesses. Different plastic methods of covering sutures of the esophagus were used in conditions of suppurative inflammation in 33 patients. An inconsistency of sutures was noted in 6 (18,2%) cases. Postoperative lethality consisted of 34,6% in spontaneous rupture of the esophagus and it was 11,9% in case of other damages.https://www.vestnik-grekova.ru/jour/article/view/8esophagusdamagesmediastinitis
spellingShingle V. P. Bykov
V. F. Fedoseev
O. V. Sobinin
S. N. Baranov
MECHANICAL DAMAGE AND SPONTANEOUS ESOPHAGEAL PERFORATION
Вестник хирургии имени И.И. Грекова
esophagus
damages
mediastinitis
title MECHANICAL DAMAGE AND SPONTANEOUS ESOPHAGEAL PERFORATION
title_full MECHANICAL DAMAGE AND SPONTANEOUS ESOPHAGEAL PERFORATION
title_fullStr MECHANICAL DAMAGE AND SPONTANEOUS ESOPHAGEAL PERFORATION
title_full_unstemmed MECHANICAL DAMAGE AND SPONTANEOUS ESOPHAGEAL PERFORATION
title_short MECHANICAL DAMAGE AND SPONTANEOUS ESOPHAGEAL PERFORATION
title_sort mechanical damage and spontaneous esophageal perforation
topic esophagus
damages
mediastinitis
url https://www.vestnik-grekova.ru/jour/article/view/8
work_keys_str_mv AT vpbykov mechanicaldamageandspontaneousesophagealperforation
AT vffedoseev mechanicaldamageandspontaneousesophagealperforation
AT ovsobinin mechanicaldamageandspontaneousesophagealperforation
AT snbaranov mechanicaldamageandspontaneousesophagealperforation