Original Article

Indian Journal of Surgery

First online:

Evaluating Necessity of Azygos Vein Ligation in Primary Repair of Esophageal Atresia

  • Mehdi FathiAffiliated withDepartment of Anesthesia, Faculty of Medicine, Mashhad University of Medical Sciences
  • , Marjan JoudiAffiliated withDepartment of Surgery, Faculty of Medicine, Mashhad University of Medical Sciences Email author 
  • , Afsaneh MortezaAffiliated withFarzan Clinical Research Institute

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Abstract

Surgery has dramatically improved survival of infants with esophageal atresia. However, early and late complications of these surgeries affect the future life of this population. A probable step toward minimizing such complications is through modifying the technique of surgery. We evaluated two groups of esophageal atresia undergoing surgery with two different techniques including preservation and ligation of the Azygos vein and compared early complications, duration of surgery, and hospital and neonatal intensive care unit (NICU) stay between them. A total number of 24 patients with mean age of 24 to 48 h, who were diagnosed with esophageal atresia, were included in the study. All cases were randomly allocated in two groups: group A (case group) in which patients underwent surgery with preservation of the Azygos vein and group B (control group) in which patients underwent the former surgical method with ligation of the Azygos vein. Incidence of early complications, duration of surgery, and NICU and hospital stay were compared between the two groups. None of the complications occurred in either group. Duration of surgery, NICU stay, and hospital stay were not statistically significant between the groups. Preserving the Azygos vein during esophageal atresia surgery is probably a good modification of the classic technique.

Keywords

Azygos vein Esophageal atresia Ligation