Surgery to treat oesophasopha bisophasophic atrophy

Oesophtrophy is a congenital malformation found in children from birth. Infant oesophatal atrophy can be treated by pleural, perioculmonal or thoracic laparoscopic surgery to minimize possible complications during surgery.

1. Congenital oesophasophaphy

Oesophatal atrophy in babies is a congenital gastrointestinal malformation that appears very early, from the moment the baby is born. Oesophageal atrophy is a phenomenon in which the oesophasophageal is interrupted in its circulation, which can lose the communication between the child's oesophasophies. More than 50% of cases of congenital oesophamatic atrophy are often accompanied by other malformations such as vertebrae malformations, malformations, cardiovascular malformations…

Congenital oesophtrophy can be diagnosed from the time the fetus is still in the womb, at about 24 weeks of gestation thanks to modern subclinical techniques including fetal ultrasound. To treat fetal stenosis, the current method is surgery. When detected early and in the period when there are no dangerous complications, oesophageal atrophy can still be safely treated and does not cause functional changes such as gastroesophageal reflux, swallowing reflex disorders or softening of the cartilage.

Congenital oesophasophaphy

Congenital oesophasophtrophy in young children

2. Causes of atrophy of the oesopha

The cause of oesophasophnic atrophy is proven to be due to abnormalities in embryo production between the 4th and 6th weeks during the mother's pregnancy. This is also the cause of a series of birth defects associated with tal tal stenosis in babies. In addition, some other causes of congenital oesophasophacinal atrophy have not yet been fully and accurately studied.

3. How do babies with congenital oesophatal atrophy handle?

For babies with oesophatal atrophy, the most optimal treatment selected today is surgery, including thoracic laparoscopic surgery. This method is in place for children with oesophtrophy with a distance of no more than 4 vertebrae and is usually considered for those who weigh less than 2000 grams or those with heart abnormalities. In particular, thoracic laparoscopic surgery for oesophasophamatic atrophy is absolutely not applied to children with complex cardiovascular malformations and pneumonia in the body, in addition, if the child has an unstable blood condition as well as hemolysis, it is not allowed to perform surgery.

In order to prepare for a safe and effective thoracic endoscopic surgery, the following steps should be prepared:

  • Prepare a full set of equipment including: laparoscopic surgical apparatus with automatic CO2 pumping system and with gas heating, 5mm 30° hard endoscope tube, trocar, 3mm laparoscopic surgical kits, PDS 5-6/0 only, Vicryl 5-6/0 only, children's thoracic surgery kits as per convention.
  • A full assessment of the patient's condition prior to surgery includes the necessary routine tests.
  • Ventilating patients with respiratory failure or oxygen saturation lower than 90%
  • Adjust the health status of the patient if there is an alkaline acidosis.

Share99 invests in modern Hybrid operating room

Operating room needs to be fully equipped

Steps to conduct thoracic laparoscopic surgery to treat oesophatal atrophy in newborns include:

  • In-administration anesthesia for the child, establishing airway control for the child during the operation, placing the left lung ventilation for the child.
  • Place the patient on the stomach so that the child's head is facing the monitor, the leg is facing the surgeon, the knee is high in the position of the child's right chest, while lowering the leg.
  • Place the first trocar in the inter-rib IX and 4cm from the spine.
  • Place the second trocar about X-rib and 2cm from the spine
  • Place the third trocar at inter-rib VII so that it is 2cm above the first trocar.
  • In the early hours of the inflatable, leave the inflatable pressure at about 4mmHg, flow 1L/min, then increase to 6mmHg or 8mmHg depending on the case.
  • Find the Azygos vein and then use an electric burner to burn it and cut it in half.
  • Find the head under the mentus and trade with the ina management to dissect them.
  • The lower end of the vent is cut off from the fistula into the vent, then stitched back the fistula with a 5/0 separate nose PDS.
  • The head under the 2cm erm is peeled off so that it is enough to pull up with its upper end, opening along the head under the 1-segment 1cm size.
  • Find the head on the este, gently pushing the throughion into the same pocket of the segment on the este.
  • Dissect the upper head of the erm from neighboring organizations.
  • Separate the back of the same bag from the inseament, cut off the muscle bar, mucous membranes to open the bag with the ere.

In-administration anesthesia for children

Children undergo insymed anesthesia preparing for surgery
  • Stitch the 2 heads of the arye back with PDS 5/0 with stitches at 6:00, note that the fastening button is only in the heart of the food. Continue stitching the back with 2 to 3 stitches with PDS 5/0 so that the fastener is in the chest and in the ancedic.
  • Push the tube through the tangled mouth down to the part of the child's stomach, stitch the front, check the tightness of the stitches.
  • Use water to clean the positions in the pleural cavity and then proceed to the drainage of the pleural cavity.
  • Withdrawal and stitching of trocar holes
  • Transfer the pediatric patient to the resuscitation department after completing the steps of the surgery, informing the family about the patient's surgical condition.

After the end of the surgery, it should be noted to monitor the following issues in the patient:

  • Resuscitation of the patient, adjustment of alkaline acid balance and survival function.
  • Straight chest x-ray to survey the condition of the lungs, water and gas in the patient's pleural cavity.
  • Ventilating patients between 12 and 24 hours after surgery.
  • Monitor for complications such as urethal fistula, Azygos veins bleeding, urethal tearing, oral fistula after 5 days, narrowing of the mouth…
  • Pump milk through the gastric sonde to provide nutrition to the patient after 48 hours.
  • 6-day post-surgery anceel scan
  • Withdrawal of the gastric cathetro in the event of no leakage of the entsophasophageal.
  • If there is a narrow mouth connection, it is necessary to periodically give the child and perform a chopped-off, then 2.
  • Re-examination after surgery is 1 month, 3 months, 6 months and every year to detect abnormalities in a timely manner.

Pediatric examination

When children show health abnormalities, parents should take them to see a doctor

Thoracic laparoscopic surgery is a safe, effective and less complications method currently in the treatment of oesophatal atrophy in babies. This is an intensive method, modern techniques and requires skill and experience, so patients need to choose reputable medical facilities to treat congenital atrophy most effectively.

Share99 International Health Hub is one of the hospitals that not only ensures professional quality with a team of leading doctors, modern technology equipment system but also stands out for comprehensive and professional medical examination, consultation and treatment services; civilized, polite, safe and sterilized medical examination and treatment space.

To register for examination and treatment at Share99 International Health Hub, you can contact Share99 Health System nationwide, or register for an online examination HERE.

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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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