Abstract
Free visceral and, more recently, free fasciocutaneous flaps are becoming increasingly common for esophageal reconstruction. However, complications of free flap conduit ischemia, specifically anastomotic leak have not been frequently discussed in the literature. This article provides a detailed description of total esophageal reconstruction with an 18 × 8.5 cm tube free radial forearm flap. A clinically significant cervical anastomosis leak was contained and healed with an innovative surgical rearrangement of local muscle flaps and closed suction drainage. We discuss the literature associated with cervical anastomotic leaks after visceral reconstruction and adapt those principles to the unique physiology of free fasciocutaneous flaps to develop a simple but reliable salvage option. This approach should be considered by reconstructive surgeons when helping other surgeons to manage an anastomotic leak after a cervical esophageal reconstruction in a similar setting.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 110-114 |
| Number of pages | 5 |
| Journal | Annals of Plastic Surgery |
| Volume | 65 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jul 2010 |
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Keywords
- anastomosis leak
- esophageal reconstruction
- microsurgical reconstruction
- radial forearm flap
ASJC Scopus subject areas
- Surgery
Cite this
Successful management of cervicoesophageal anastomosis leak after microsurgical esophageal reconstruction : A case report and review of the literature. / Dodd, Andrew R.; Goodnight Jr, James E; Pu, Lee Li-Qun.
In: Annals of Plastic Surgery, Vol. 65, No. 1, 07.2010, p. 110-114.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Successful management of cervicoesophageal anastomosis leak after microsurgical esophageal reconstruction
T2 - A case report and review of the literature
AU - Dodd, Andrew R.
AU - Goodnight Jr, James E
AU - Pu, Lee Li-Qun
PY - 2010/7
Y1 - 2010/7
N2 - Free visceral and, more recently, free fasciocutaneous flaps are becoming increasingly common for esophageal reconstruction. However, complications of free flap conduit ischemia, specifically anastomotic leak have not been frequently discussed in the literature. This article provides a detailed description of total esophageal reconstruction with an 18 × 8.5 cm tube free radial forearm flap. A clinically significant cervical anastomosis leak was contained and healed with an innovative surgical rearrangement of local muscle flaps and closed suction drainage. We discuss the literature associated with cervical anastomotic leaks after visceral reconstruction and adapt those principles to the unique physiology of free fasciocutaneous flaps to develop a simple but reliable salvage option. This approach should be considered by reconstructive surgeons when helping other surgeons to manage an anastomotic leak after a cervical esophageal reconstruction in a similar setting.
AB - Free visceral and, more recently, free fasciocutaneous flaps are becoming increasingly common for esophageal reconstruction. However, complications of free flap conduit ischemia, specifically anastomotic leak have not been frequently discussed in the literature. This article provides a detailed description of total esophageal reconstruction with an 18 × 8.5 cm tube free radial forearm flap. A clinically significant cervical anastomosis leak was contained and healed with an innovative surgical rearrangement of local muscle flaps and closed suction drainage. We discuss the literature associated with cervical anastomotic leaks after visceral reconstruction and adapt those principles to the unique physiology of free fasciocutaneous flaps to develop a simple but reliable salvage option. This approach should be considered by reconstructive surgeons when helping other surgeons to manage an anastomotic leak after a cervical esophageal reconstruction in a similar setting.
KW - anastomosis leak
KW - esophageal reconstruction
KW - microsurgical reconstruction
KW - radial forearm flap
UR - http://www.scopus.com/inward/record.url?scp=77954241889&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77954241889&partnerID=8YFLogxK
U2 - 10.1097/SAP.0b013e3181c51f7a
DO - 10.1097/SAP.0b013e3181c51f7a
M3 - Article
VL - 65
SP - 110
EP - 114
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
SN - 0148-7043
IS - 1
ER -