TEF Surgery: Surgical Perspectives and Our Experience

Delve into the surgical considerations and post-operative management strategies for tracheoesophageal fistula (TEF) surgery as shared by Dr. Adarsh Hegde from the Department of Pediatric Surgery at D.Y. Patil Medical College and Research Centre. Explore preoperative stabilization methods, surgical approaches, vital adjuvants for positive outcomes, long-term follow-up considerations, and more to optimize patient care and enhance surgical outcomes.

• TEF Surgery
• Surgical Perspectives
• Pediatric Surgery
• Post-Operative Management
• Medical Research

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Uploaded on Feb 16, 2025 | 3 Views

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Presentation Transcript

1. TEF surgery- surgical perspectives and our experience Dr Adarsh Hegde, Department of pediatric Surgery D Y patil Medical college and research centre

2. Our methods to optimize outcome- Preoperative stabilization Slow continuous suction of upper pouch Role of cardiac evaluation in TEF patients

3. USG abdomen Preoperative evaluation by Anaesthesia team Shifting protocols

4. Surgical considerations- Intubation Position of endotracheal tube Patient position Temperature regulation

5. Surgical approach Extrapleural approach Transpleural approach

6. Comparison between both approaches Intra-operative convenience Duration of surgery Post Operative considerations- Management of leak Risk of consolidation/pneumonia Risk of pneumothorax

7. Vital adjuvants to positive outcome Role of postoperative ventilation Thoracic drainage/ICD Post-operative pain management Timing of enteral feeds

8. Long term follow up- Strictures Dysmotility GER Increased risk of LRTI

9. Thank you