QUAD #10 Pt.2: Surgical Technique for Thoracoscopic Repair of Tracheoesophageal Fistula (TEF) with Dr. Steve Rothenberg

Stay Current in Pediatric Surgery

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3M ago 10:34

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In this video we’ll talk about minimally invasive thoracoscopic tracheoesophageal fistula (TEF) repair with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. This video covers:

Anesthesia: Using CO2 to collapse the lung instead of single lung ventilation.

Patient Positioning: Prone and tilted at 60 degrees for better access.

Surgical Technique: Detailed steps from trocar placement to anastomosis, including tips for mobilizing the upper pouch and managing the fistula.

Visualization: Improved view compared to open surgery, especially for complex cases.

Post-Operative Care: Managing chest drains, preventing hiatal hernias, and suture techniques to avoid strictures.

Cosmetic Outcomes: Minimal scarring and reduced risk of chest wall deformities.

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