Volume : 7, Issue : 3, March - 2018

Study of surgical outcome in congenital Tracheoesophageal Fistula

Dr Nandakishor K. Jaiswal, Dr Kirti N. Jaiswal

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size:12.0pt;line-height:150%;mso-bidi-font-family:&quot;Times New Roman&quot;">Background: </span></b><span style="mso-bidi-font-family:&quot;Times New Roman&quot;">Tracheoesphageal fistula is one of the commonest congenital anomaly. This study was conducted for assessment of outcome of surgery in congenital tracheoesophageal fistula patients after provision of available expert surgical intervention and perioperative care.</span><span style="font-size:12.0pt;line-height:150%;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;"><o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size:12.0pt;line-height:150%;mso-bidi-font-family:&quot;Times New Roman&quot;">Methods: </span></b><span style="mso-bidi-font-family:&quot;Times New Roman&quot;">In this hospital based observational study, 36 eligible cases of tracheoesophageal fistula were thoroughly evaluated during enrollment. Either a transpleural approach or extrapleural approach through 4^th intercostal space was adopted for surgery. </span><span style="font-size:12.0pt;line-height:150%;mso-bidi-font-family:&quot;Times New Roman&quot;"><o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size:12.0pt;line-height:150%;mso-bidi-font-family:&quot;Times New Roman&quot;">Results:</span></b><span style="mso-bidi-font-family:&quot;Times New Roman&quot;"> Maximum babies (17, 46.33%) were diagnosed with the condition within 6-24 hours after birth and majority (23, 63.88%) underwent surgery after more than 48 hours of diagnosis. Type 1 anomaly<span style="mso-spacerun:yes">&nbsp; </span>was the predominant variety (31, 86.31%). Seventeen (47.33%) patients survived and 19 (52.67%) died after surgery. Out of total 19 deaths, 9 (47.36%) happened within 48 hours of surgery. Thirteen (36.11%) patients underwent surgery by transplural approach, out of which 5 (38.46%) survived. And out of 23 (63.88%) patients who underwent surgery by extraplural approach, 12 (52.17%) patients survived. <o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size:12.0pt;line-height:150%;mso-bidi-font-family:&quot;Times New Roman&quot;">Conclusion:</span></b><span style="mso-bidi-font-family:&quot;Times New Roman&quot;"> The overall survival was 47.33% in our study, which is satisfactory when we keep in mind the lack of facilities and the general unavailability of expert paramedical staff. <o:p></o:p></span></p>