Surgical Management:

Surgical management consists of  primary repair which involves end to end anastomosis with excision of  the fistula and delayed and staged surgery. When the baby is not clinically fit for surgery because of pneumonitis or low birth weight, a gastrostomy is performed. 

Stages of Surgery 

1)  Left Cervical esophagostomy and gastrostomy 

2)  Thoracotomy and ligation of fistula 

3)  Replacement of  the gap between two pouches at six to eights months of  age by gastric tube 

Preoperative management consists of nursing  the child in upright position, no feeding, frequent low pressure suctioning, maintenance  of  fluid and electrolyte balance by intravenous fluids  and giving antibiotics  prophylactically. Postoperative nursing management consists of monitoring  the intravenous fluids, gastrostomy feeding as advised and subsequent oral feeding depending on general condition of child, and watch and preventing complications. That occur after EA with TEF.,  

Posted Date: 10/26/2012 7:37:08 AM | Location : United States

Ask an Expert

Related Discussions:- Surgical management, Assignment Help, Ask Question on Surgical management, Get Answer, Expert's Help, Surgical management Discussions

Write discussion on Surgical management
Your posts are moderated

Write your message here..

Related Questions

Heat loss, Heat Loss Temperature regulation is extremely uneconomical... Heat Loss Temperature regulation is extremely uneconomical if it depends only on variations in metabolism. Therefore, mechanisms for losing excess heat have been developed by

Taxononomy, phase of alpha taxonomy phase of alpha taxonomy

#title.respiration in human beings., what is direct and indirect external r... what is direct and indirect external respiration

+illustrate sturdy evolutionary hypothesis, Q. Why is it a sturdy evolution... Q. Why is it a sturdy evolutionary hypothesis that although viruses are the structurally simplest beings they were not the first living beings? The fact that viruses are obliga

Explain the functionality of carboxymethyl cellulose, Functionality of CMC ... Functionality of CMC CMC is soluble in cold water and mainly used for controlling viscosity without gelling. As its viscosity drops during heating, it may be used to improve t

Bacterial diseases-actinomyces, Actinomyces Members of the genus Actin... Actinomyces Members of the genus Actinomyces are facultative anerobic, gram-positive, non acid-fast, non-spore forming, nonhaemolytic rods. All Actinomyces require rich media

What is hemoglobin releasing hormone, In a red blood cell, which of the fol... In a red blood cell, which of the following will lead to a reduction in the percentage of hemoglobin that has oxygen bound to it? A. A decrease in the amount of HbRH (Hemoglobi

Hybridoma, Hybridoma is the clone of plasmacytoma cells which secrete a mo... Hybridoma is the clone of plasmacytoma cells which secrete a monoclonal antibody; commonly produced by the fusion of peripheral or splenic plasma cells taken from the immunized mo

Social behavior of insects, assignment assignment

#green algae, #what characteristics of green algae that led to biologists c... #what characteristics of green algae that led to biologists considered it as a plant?