Fibrin Sealing in Pediatric Esophageal Surgery
Fibrin sealing is of great importance in the surgical treatment of the most important esophageal malformations and other conditions affecting children.
Between 1984 and 1992 we operated on 84 patients with esophageal atresia using direct anastomosis, six patients with atresia using esophagocoloplasty, and one patient with a rare acquired tracheoesophageal fistula, one patient with esophageal duplication, and three patients with severe stenosis following caustic esophagitis using end-to-end esophageal anastomosis. In all 95 patients, fibrin sealant (Tissucol, Immuno, Vienna) was used in order to consolidate the sutures. None of our patients showed surgical complications or problems caused by the use of fibrin sealant. In our experience, its main advantage consists in consolidating sutures and reducing the risk of anastomotic leaks.
KeywordsThrombin Fibrinogen Esophagitis Aprotinin Plasmin
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