Minimal access surgery of corrosive and thermal strictures of the foregut.

Vasudevan Baskaran, Jayant Kumar Banerjee, Sita Ram Ghosh, Sukumar Santosh Kumar, Santosh Kumar Dey, Shrirang Vasant Kulkarni, Ramanathan Saranga Bharathi
Author Information
  1. Vasudevan Baskaran: Department of Gastro-Intestinal Surgery, MIOT Hospital, Chennai, Tamil Nadu, India.
  2. Jayant Kumar Banerjee: Department of Gastro-Intestinal Surgery, Bharati Vidyapeeth Medical College, Pune, Maharashtra, India.
  3. Sita Ram Ghosh: Department of Gastro-Intestinal Surgery, IQ City Medical College, Durgapur, West Bengal, India.
  4. Sukumar Santosh Kumar: Department of Gastro-Intestinal Surgery, Command Hospital (Central Command), Lucknow, Uttar Pradesh, India.
  5. Santosh Kumar Dey: Department of Pediatric Surgery, Command Hospital (Central Command), Lucknow, Uttar Pradesh, India.
  6. Shrirang Vasant Kulkarni: Department of Gastro-Intestinal Surgery, Army Hospital (Research and Referral), New Delhi, India.
  7. Ramanathan Saranga Bharathi: Department of Gastro-Intestinal Surgery, Command Hospital (Northern Command), Udhampur, Jammu and Kashmir, India.

Abstract

Background and Aim: : Conventional surgery for caustic/thermal strictures (CS/TS) entails considerable trauma, which may be mitigated by minimal access surgery (MAS). Experience with its use in CS/TS is both heterogeneous and limited, hence, warrants a comprehensive review.
Methods: : Medical literature/indexing databases were systematically searched for pertinent articles published in English, from 1990 to 2021, and analysed.
Results: : Fifty relevant articles, pertaining to over 200 patients, were found. They showed that MAS is feasible in CS/TS management. It reduces the access damage in chest and abdomen whilst facilitating resection or bypass of the affected gut segment through different combination of operations, sequence of steps, conduits and routes. The procedures range from completely minimal access to hybrid ones, with reduced complications and faster recovery. Hybrid procedures prove as expeditious as open ones.
Conclusions: : MAS proves efficacious in restoring alimentary continuity in corrosive/thermal strictures of the foregut.

Keywords

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Word Cloud

Created with Highcharts 10.0.0strictures:accesssurgeryCS/TSMASminimalarticlesproceduresonesforegutthermalBackgroundAim:Conventionalcaustic/thermalentailsconsiderabletraumamaymitigatedExperienceuseheterogeneouslimitedhencewarrantscomprehensivereviewMethods:Medicalliterature/indexingdatabasessystematicallysearchedpertinentpublishedEnglish19902021analysedResults:Fiftyrelevantpertaining200patientsfoundshowedfeasiblemanagementreducesdamagechestabdomenwhilstfacilitatingresectionbypassaffectedgutsegmentdifferentcombinationoperationssequencestepsconduitsroutesrangecompletelyhybridreducedcomplicationsfasterrecoveryHybridproveexpeditiousopenConclusions:provesefficaciousrestoringalimentarycontinuitycorrosive/thermalMinimalcorrosiveCorrosive/causticgastriclaparoscopyoesophagealthoracoscopy

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