Esophagotomy Internal Extrapleural

Internal extrapleural esophagotomy: Procedure and its application

Internal extrapleural esophagotomy (sometimes also called o. interna extrapleuralis) is a surgical procedure that is used to access the esophagus (esophagus) through the internal route, bypassing the pleura. This technique is an important tool in esophageal surgery and can be applied in a variety of clinical situations.

The internal extrapleural esophagotomy procedure is used in cases where access to the esophagus through the usual routes is difficult or impossible. It may be necessary for certain diseases of the esophagus, such as esophageal cancer, strictures (narrowings) of the esophagus, diverticula (protrusions) and other pathologies. This procedure can also be used to remove foreign bodies from the esophagus.

The advantage of internal extrapleural esophagotomy is that it allows the surgeon to bypass the pleura, which can be useful in cases where the pleural space is filled with fluid or there are other restrictions that prevent access to the esophagus. This technique may also reduce the risk of lung injury, which is especially important during surgery in the upper esophagus.

The surgical procedure of internal extrapleural esophagotomy is performed using anesthesia. The surgeon makes a small incision in the skin on the front of the neck, then separates the tissue and creates access to the esophagus. After this, the esophagus is examined and necessary treatment is carried out, such as removing the tumor or widening the stricture. Once the procedure is complete, the wound is usually sutured.

Like any other surgical procedure, internal extrapleural esophagotomy is not without risks and complications. Possible complications include infection, bleeding, and damage to surrounding tissues or organs. Therefore, the decision on the necessity and advisability of this procedure should be made individually by the doctor, based on the clinical situation and the patient’s condition.

In conclusion, internal extrapleural esophagotomy is an important surgical procedure to bypass the pleura when accessing the esophagus. It can be used in various clinical situations and allows for the treatment of various diseases of the esophagus. However, the decision to perform this procedure should be based on a thorough assessment of the patient and discussed with an experienced surgeon. Only after taking into account all the factors and the advantages and disadvantages of this procedure can you make an informed decision about its use.

Consult your healthcare professional or surgeon for more information about internal extrapleural esophagotomy and its use in specific cases.

Esophagostomy is a surgical procedure that involves creating an artificial opening in the esophagus. The purpose of this operation is to restore its patency in case of blockage for various reasons. According to the methods of execution, the operation is divided into interpleural and extrapleural.

The essence of the operation: the anterior wall of the esophagus is sutured to the skin to prevent it from falling out through the hole. Stitching is carried out along the perimeter of the part of the esophagus that is to be crossed, and then along the contour of this section of the esophagus. In this case, the anterior two bends of the esophagus remain intact, although the posterior one has a small distance for this. Finally, the hindgut is applied.

In case of an extrapleural outcome, the intestine is cut longitudinally and transegmintally directly opposite the root behind the sternum. Thus, this part of the intestine has a separate duodenal end