Delayed oesophageal injury

[Ranjith Ellawala]

Young male with a stab in from left side of neck, penetrating both walls. presenting 16hrs after the injury. My colleague performed surgery which involves mobilizing oesophagus onto the surface on left , keeping the proximal part as a fistula , applying a pursestring suture to distal opening. The wound was infected at the time of surgery. Additional feeding jejunostomy was performed as well
  Please let me know how you deal with this situation ?
  Dr.Ranjith Ellawala
  Consultant Surgeon
  Trauma Unit,
  The National Hospital of Sri lanka
  Colombo
  Sri lanka

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