This podcast discusses the work up, operative management, and follow-up management of tracheoesophageal fistulas.
Dr. Todd Ponsky is an associate professor of surgery and pediatrics and pediatric surgeon at Akron Children's Hospital.
Dr. Avraham Schlager is a pediatric surgeon at Akron Children's Hospital.
Dr. Daniel von Allmen is the surgeon-in-chief, Lester W. Martin chair of pediatric surgery, senior vice president of the surgical services, and professor at University of Cincinnati department of surgery.
Audio Index
00:00:00 Introduction
00:03:27 Diagnosis of TEF
00:06:21 Preoperative planning
00:07:09 Management of TEF with right sided aortic arch
00:09:00 Timing of Repair in stable patient
00:09:56 Management of patient with respiratory compromise prior to OR
00:10:58 Temporizing maneuvers to help improve respiratory function
00:13:26 Management of TEF in patients with duodenal atresia
00:14:29 Role of preoperative bronchoscopy
00:16:20 Positioning of endotracheal tube
00:17:09 Approaches to open technique and benefits of dividing azygous vein
00:17:59 Techniques to divide the tracheoesophageal fistula
00:19:25 Steps to gain exposure
00:20:58 Mobilization of esophagus
00:22:51 Managing an injury to the trachea
00:23:56 Creation of anastomosis
00:24:26 Elongating techniques for long gap esophageal atresia
00:29:06 Approaches to thoracoscopic repair
00:31:42 Techniques and pearls in performing thoracoscopic anastomosis
0034:15 Lung isolation techniques
00:35:46 Postoperative management
00:36:57 Drain management
00:37:44 Managing an anastomotic stricture
00:39:43 Managing an anastomotic leak
00:41:09 Postoperative and long term follow-up
00:42:45 Indications to perform anti-reflux surgery
00:43:46 Management of pure esophageal atresia
00:44:38 Closing remarks
Intro and outro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.
Artist URL: ccmixter.org/files/grapes/16626
License: http://creativecommons.org/licenses/by/3.0/
