DIFFICULTY OF DIAGNOSTICS AND SELECTION OF SURGICAL TREATMENT OF BOERHAAVE SYNDROME
Abstract
The aim of the study is to present an analysis of patients’ management with Boerhaave syndrome and the outcomes of surgical treatment within the first 12 hours after the occurrence of esophageal rupture to reduce the mortality associated with the development of this disease. Material and methods. A retrospective analysis of seven patients
with spontaneous esophageal rupture who were treated in Surgut Clinical Traumatological Centre is conducted. Results. Application of a left-sided thoracotomy, despite the late admission and execution of the operation 24 hours after the rapture affected by mediastinitis and sepsis in 50 % of cases, allows for a full recovery of 71.4 % of patients.
with spontaneous esophageal rupture who were treated in Surgut Clinical Traumatological Centre is conducted. Results. Application of a left-sided thoracotomy, despite the late admission and execution of the operation 24 hours after the rapture affected by mediastinitis and sepsis in 50 % of cases, allows for a full recovery of 71.4 % of patients.
About the Authors
V. K. Korzhenevsky
Surgut Clinical Traumatological Centre
Russian Federation
PhD (Medicine), Head, Department of Surgery
Russian Federation
PhD (Medicine), Head, Department of Surgery
M. P. Shishulina
Surgut Clinical Traumatological Centre
Russian Federation
Surgeon
Russian Federation
Surgeon
T. A. Mkrtycheva
Surgut Clinical Traumatological Centre
Russian Federation
Surgeon
Russian Federation
Surgeon
R. O. Rakhmetov
Surgut Clinical Traumatological Centre
Russian Federation
Surgeon-Endoscopist
Russian Federation
Surgeon-Endoscopist
D. I. Gorlov
Surgut Clinical Traumatological Centre
Russian Federation
Surgeon-Endoscopist
Russian Federation
Surgeon-Endoscopist
V. F. Suyundukov
Surgut Clinical Traumatological Centre
Russian Federation
Radiologist
Russian Federation
Radiologist
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Review
For citations:
Korzhenevsky V.K., Shishulina M.P., Mkrtycheva T.A., Rakhmetov R.O., Gorlov D.I., Suyundukov V.F. DIFFICULTY OF DIAGNOSTICS AND SELECTION OF SURGICAL TREATMENT OF BOERHAAVE SYNDROME. Vestnik SurGU. Meditsina. 2019;(3 (41)):32-37. (In Russ.)
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