Spontaneous healing of a shredded esophagus after ACDF without direct repair.
Acta Neurochir (Wien)
; 160(2): 413-417, 2018 02.
Article
em En
| MEDLINE
| ID: mdl-29247392
ABSTRACT
Esophageal perforation is a catastrophic complication of anterior cervical discectomy and fusion (ACDF). While direct surgical repair has been reported as optimal for restoration of upper gut function, we present the case of a 58-year-old woman who achieved complete resolution when treated only with debridement and drainage. We find that a supportive approach, surgical management without direct repair, may play a vital role in select patient populations in order to avoid potentially long-term consequences or radical treatments, like esophageal diversion. Decisions regarding direct repair versus debridement and inspection only should be made on a case-by-case basis through a multidisciplinary approach.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Fusão Vertebral
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Vértebras Cervicais
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Discotomia
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Perfuração Esofágica
Tipo de estudo:
Prognostic_studies
Limite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
Acta Neurochir (Wien)
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Estados Unidos