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Thoracotomy vs. Thoracoscopy for Esophageal Atresia with Tracheoesophageal Fistula Repair: Is There a Difference in Quality of Life?
Children (Basel)
October 2024
Pediatric Surgery Unit, Salesi Children's Hospital, 60123 Ancona, Italy.
Aim: Esophageal atresia (EA) is the most common congenital esophageal malformation. Thoracoscopic repair is gaining popularity, but controversy persists regarding the ideal surgical approach for this challenging anomaly. This study's aim is to analyze outcomes in terms of quality of life (QoL) of children undergoing thoracotomy and thoracoscopy for type III EA repair.
View Article and Find Full Text PDFA case report of type II Floyd tracheal agenesis with staged tracheal and alimentary reconstructions.
Surg Case Rep
November 2024
Department of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, Gifu Prefecture, 501-1194, Japan.
Article Synopsis
- Tracheal agenesis is a rare congenital condition, particularly type II Floyd tracheal agenesis, which often leads to poor survival rates, but a specific case shows potential for recovery after reconstruction.
- An infant, delivered early due to distress, was diagnosed with tracheal agenesis after unsuccessful intubation; he underwent various surgical procedures and was able to tolerate oral feeding upon discharge.
- Continuous and early detection of respiratory issues is essential, as challenges remain due to the absence of a trachea and complications like tracheal tube displacement, which can lead to serious outcomes.
The Hidden Culprit: A Computed Tomography Diagnosis of H-Type Tracheoesophageal Fistula in an Adult Revealed After Two Decades of Pulmonary Infections.
Cureus
October 2024
Radiology, Souss Massa University Hospital, Agadir, MAR.
Article Synopsis
- A 41-year-old male with a history of cardiopathy and respiratory issues presented with severe symptoms related to heart failure, including significant dyspnea and edema after years of recurrent infections.
- Diagnostic tests revealed multiple complications including dilation of cardiac chambers and a rare congenital condition known as H-type tracheoesophageal fistula (TEF), which contributed to his respiratory problems.
- The patient was admitted to the ICU for intensive management, including treatment for pulmonary artery hypertension and preparation for surgical intervention to repair the fistula.
Common error traps in anesthesia for neonatal surgical emergencies.
Paediatr Anaesth
January 2025
Department of Anesthesiology, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, USA.
Article Synopsis
- - Neonatal surgical emergencies present unique challenges for pediatric anesthesiologists, with high risks associated with each procedure.
- - Common error traps in these surgeries include issues with surgical timing, airway management, maintaining normal body temperature and blood sugar levels, and recognizing physiological differences in neonates.
- - The narrative review aims to help clinicians identify and plan for these error traps, ultimately reducing the chances of adverse events during emergencies.
Anastomotic Leak and its Implications: A Multicenter Analysis of "Type C" Esophageal Atresia / Tracheo-esophageal fistula (EA/TEF).
J Pediatr Surg
October 2024
Department of Surgery, Nemours Children's Hospital-DE, Wilmington, DE, USA.
Article Synopsis
- The study investigates the risk factors for esophageal anastomotic leak and its effect on hospital length of stay (LOS) in infants who underwent repair of type C esophageal atresia with tracheo-esophageal fistula (EA/TEF) using data from the Children's Hospitals Neonatal Database (CHND) from 2021 to 2023.
- In a sample of 365 infants from 36 centers, 15.1% experienced an anastomotic leak, with factors like thoracoscopic approach, low birth weight, and male sex being significantly associated with this outcome.
- The presence of a leak was linked to a longer hospital stay, emphasizing the need to identify best
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