BACKGROUND AND STUDY AIMS A transesophageal natural orifice transluminal endoscopic surgery (NOTES) approach has been proposed for thoracic and mediastinal access. Similarly to transgastric surgery, serious limitations remain related to creating an esophagotomy and its safe closure. A hybrid approach in thoracic NOTES could work as an intermediate step before pure transesophageal NOTES. We asse...

The complications and swallowing functions were studied in eleven patients who had undergone free jejunal autograft reconstruction after total pharyngolaryngectomy and cervical esophagotomy. All patients have had advanced cancers of the hypopharynx or cervical esophagus. Fistula was complicated in three patients (27%), including one (9%) who died of pneumonia. Death or graft necrosis was not co...

Objective- This study aimed to evaluate the feasibility of using platelet rich fibrin membrane as a novel on-lay patching biomaterial in canine esophagotomy and its effects on esophageal wound healing. Design- Experimental study. Animals- Eight adult mixed breed dogs of both sexes equally allocated to control and treatment groups.<b...

objective- this study aimed to evaluate the feasibility of using platelet rich fibrin membrane as a novel on-lay patching biomaterial in canine esophagotomy and its effects on esophageal wound healing. design- experimental study. animals- eight adult mixed breed dogs of both sexes equally allocated to control and treatment groups. procedures- longitudinal incisions measuring 3 cm were made in t...

Problem statement: Esophageal surgery is associated with greater wound healing problems than surgery on other portion of the alimentary tract. Omentum and fresh bone marrow are rich source of angiogenic factors that promote the growth of blood vessels into wound tissue. The aim of this study was evaluation of the effects of a combination of autogenous fresh bone marrow and omental free graft in...

theses, with sharp clasps which catch and stick in the esophagus, can lead to di− rect injury, compression ulcer, and per− foration or penetration [1,2]. To establish appropriate procedures for removing such objects according to our strategy for accidentally swallowed esophageal for− eign bodies, we examined: (i) the removal process in cases without esophageal re− section, and (ii) the resected...

Statistical observation on the cases of foreign bodies handled in our clinic during the period from 1956 through 1965 was performed. The results were as follows. 1. 1,043 cases (approximately 1/00) out of 108,760 patients treated in our ear, nose and throat clinic during last 10 years, were recognized as the foreign bodies. 2. The locations of the foreign bodies were as follows : 507 cases in e...

A 64-year-old non-alcoholic, non-smoker male had a history of accidental ingestion of an artificial denture some two years back. Patient subsequently developed mild retrosternal burning, and a chest radiograph and a plain abdominal radiograph could not detect the swallowed tooth. No further investigation was done. From six months after the incidence, patient started experiencing repeated episod...