scholarly journals Thoracoscopic Repair of Oesophageal Atresia: Results of a Selective Approach

2012 ◽  
Vol 23 (01) ◽  
pp. 014-018 ◽  
Author(s):  
Christoph Zoeller ◽  
Benno Ure ◽  
Carmen Dingemann
2015 ◽  
Vol 50 (2) ◽  
pp. 240-246 ◽  
Author(s):  
Mark Davenport ◽  
Steven S. Rothenberg ◽  
David C.G. Crabbe ◽  
Mark L. Wulkan

2012 ◽  
Vol 47 (12) ◽  
pp. 2224-2227 ◽  
Author(s):  
Jinshi Huang ◽  
Junfeng Tao ◽  
Kuai Chen ◽  
Kanglin Dai ◽  
Qiang Tao ◽  
...  

2021 ◽  
Author(s):  
Michelle ON Yu ◽  
Patrick HY Chung ◽  
Mabel Wong ◽  
Anne Kwan ◽  
Yee-Eot Chee ◽  
...  

2021 ◽  
Vol 37 (3) ◽  
pp. 397-401
Author(s):  
H. Thakkar ◽  
D. M. Mullassery ◽  
S. Giuliani ◽  
S. Blackburn ◽  
K. Cross ◽  
...  

Abstract Purpose Thoracoscopic OA/TOF repair was first described in 1999. Currently, less than 10% of surgeons routinely employ minimally access surgery. Our primary aim was to review our immediate-, early- and long-term outcomes with this technique compared with the open approach. Methods A retrospective review of all patients undergoing primary OA/TOF (Type C) repair at our institution from 2009 was conducted. Outcome measures included length of surgery, conversion rate from thoracoscopy, early complications such as anastomotic leak and post-operative complications such as anastomotic strictures needing dilatations. Fisher’s exact and Kruskal–Wallis tests were used for statistical analysis. Results 95 patients in total underwent OA/TOF repair during the study period of which 61 (64%) were completed via an open approach. 34 were attempted thoracoscopically of which 11 (33%) were converted. There was only one clinically significant anastomotic leak in our series that took place in the thoracoscopic group. We identified a significantly higher stricture rate in our thoracoscopic cohort (72%) versus open surgery (43%, P < 0.05). However, the median number of dilations (3) performed was not significantly different between the groups. There was one recurrent fistula in the thoracoscopic converted to open group. Our median follow-up was 60 months across the groups. Conclusion In our experience, the clinically significant leak rate for both open and thoracoscopic repair as well as recurrent fistula is much lower than has been reported in the literature. We do not routinely perform contrast studies and are, thus, reporting clinically significant leaks only. The use of post-operative neck flexion, ventilation and paralysis is likely to be protective towards a leak. Thoracoscopic OA/TOF repair is associated with a higher stricture rate compared with open surgery; however, these strictures respond to a similar number of dilatations and are no more refractory. Larger, multicentre studies may be useful to investigate these finding further.


1989 ◽  
Vol 6 (1) ◽  
pp. 1-12
Author(s):  
Taha Jabir Al Alwani

IntroductionCurrent developments and the many acute problems facing the MuslimUmmah, especially at the intellectual level, present a serious challenge toIslam. This is why an attempt to outline an intellectual Islamic alternativein thought and knowledge has never been so urgent and imperative. Thiwill, insha 'Allah, help in formulating a clear and coordinated policy withregard to cultural transformation based on firm principles and sound strategy.It is also hoped that this policy will lead to scientific findings.By way of introduction, I will give a brief description of the state ofknowledge and thought. and of the educational and cultural systems in thecontemporary Arab and Muslim world.The Present State of ThoughtWhen examining the present state of thought among the Muslim peoples.three basic approaches can be identified:• The first can be described as the traditionalist approach which,by and large, considers the "traditional'' thought of the Ummahto be self-sufficient and capable of being presented asit is or with very little alteration. This approach suggeststhat the Ummah's contemporary intellectual life can be formedand organized and that the structure of its civilization canbe built on this basis. This approach i often described asthe approach of authenticity.• The second approach considers contemporary Western thoughtand its world-view-its concepts of existence, of life and ofman-to be universal, without it a modern culture and civilizationcannot be built. This tendency maintains that Westernthought must be adopted in toto, and any consequent negativeaspects are the price that must be paid if a modern cultureand civilization are to be established. This view is oftendescribed as mcdemistic.• The third trend, or the eclectic approach, advocates yetanother view. It contends that one must select from traditionalthought what is most sound, and from "modern" contemporarythought that which one considers and proves tobe correct, and weld the two to form an intellectual structurethat will provide a guaranteed basis for achieving what isrequired.However, the traditional approach, in the manner it has been presentedand applied, did not help to prevent the Ummah from falling into Lhe stateof decline and failure from which it is still suffering. Likewise, Western thought,as it also is presented and applied, cannot protect the Ummah from its inherentadverse, harmful and even disastrous effects. The advocates of theeclectic selective approach have not yet presented the details of this proposedblend, let alone tried to put it into effect. All this is conducive to the widerangingquestion: Is the Umrnah going through a serious intellectual crisis;and . if so, what is the way out of it? ...


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