Colonic Interposition for Esophageal Atresia
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Procedure Outline
Table of Contents
- 1. Introduction
- 2. Abdominal Incision and Access to the Abdominal Cavity
- 3. Kocherization of the Duodenum
- 4. Colon Mobilization Including the Splenic Flexure
- 5. Release of Attachments Around the Ligament of Treitz
- 6. Determination of Blood Supply and Length of Colon
- 7. Construction of Colonic Interposition Graft
- 8. Stomach Mobilization
- 9. Excision and Repair of Gastrostomy Site
- 10. Transposition of Colon Posterior to Stomach
- 11. Cervical Incision and Mobilization of Esophagostomy
- 12. Formation of Tunnel
- 13. Passing of Colon Through Tunnel
- 14. Cervical Esophagocolonic Anastomosis
- 15. Distal Cologastric Anastomosis
- 16. Gastrostomy Creation
- 17. Reconstruction of Colonic Continuity via a Right to Distal Left Colocolonic Anastomosis
- 18. Closure of Mesentery
- 19. Gastrostomy Tube Placement
- 20. Abdominal Closure
- 21. Cervical Incision Closure
- 22. Skin Closure
- 23. Post-op Remarks
- Lysis of Adhesions
- Compare the Middle Colic and Left Colic Vascular Supply
- Marginal Artery is Preserved
- Peritoneum
- Anterior Fascia
- Place Cervical Drain and Reapproximate Muscles
- Skin Excision
- Reapproximate Platysma
- Secure Penrose Drain to Skin
- Secure G Tube to Skin
