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  • Title: [Emergency reoperation for breakdown of sutures of an intrathoracic oeso-digestive anastomosis (author's transl)].
    Author: Delacroix R, Laniez C, Warin B, Delaby JP.
    Journal: J Chir (Paris); 1979; 116(6-7):411-8. PubMed ID: 489690.
    Abstract:
    UNLABELLED: The authors report five cases of emergency reoperation for breakdown of an intrathoracic oeso-digestive anastomosis. RESULTS: 1 death, 1 failure, new fistula formation but with spontaneous cure within 20 days, 3 primary cures. The success of these reoperations seems to us to depend narrowly: - on the rapidity of diagnosis, facilitated at present by early radiological examination; - on the absolute emergency of reoperation as soon as the breakdown is obvious radiologically and clinically, - on the strictness of surgical technic which should be the same as for a cold operation. Early radiological examination of the digestive anastomoses has permitted better understanding of the mechanisms of the breakdown, emphasising: - firstly, the importance of complete hemostasis; - secondly, the suppression of any dead space around the anastomosis.
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