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B17 H-Type Tracheo-oesophageal Fistula

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Basic Techniques in Pediatric Surgery
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Abstract

• Initial procedure is same as for oesophagostomy (see Figs. 1–4 Chap. B16)

• Dissect in the plane between the trachea and oesophagus, and loop the oesophagus. Avoid damage to recurrent laryngeal nerve.

• With lateral traction on the oesophagus, continue dissection distally in the plane between the trachea and oesophagus until the fistula is reached. Define the fistula circumferentially. Take stay sutures on both tracheal and oesophageal ends, both proximal and distal to the fistula, and divide the fistula between them (Fig. 1).

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Correspondence to Anand Sinha .

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Sinha, A., Agarwala, S. (2013). B17 H-Type Tracheo-oesophageal Fistula. In: Carachi, R., Agarwala, S., Bradnock, T.J., Lim Tan, H., Cascio, S. (eds) Basic Techniques in Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20641-2_49

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  • DOI: https://doi.org/10.1007/978-3-642-20641-2_49

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-20640-5

  • Online ISBN: 978-3-642-20641-2

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