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By N. A. Myers (auth.), S. W. Beasley, N. A. Myers, A. W. Auldist (eds.)

This booklet on oesophageal atresia and tracheo-oesophageal fistula units out to explain all facets of a congenital anomaly which has been defined as 'the epitome of contemporary surgical procedure' and 'the raison d' etre of paediatric surgery'. even though the literature includes references to the survival of 1 child with oesophageal atresia (without fistula) who used to be born in 1935, the most important section of the oesophageal atresia tale issues the main common anomaly, particularly oesophageal atresia with a distal tracheo-oesophageal fistula. the 1st long term survivals of infants born with this anomaly have been in 1939; it truly is applicable accordingly that this e-book can be compiled 50 years later. surgical procedure and neonatal care have made extraordinary advances in this part century, and nowhere is that this extra noticeable than within the box of neonatal surgical procedure. however the care of the infant with oesophageal atresia calls for greater than a medical professional and a neonatologist, and our event has proven the necessity for a multidisci­ plinary technique related to anaesthetists, in depth care therapists, thor­ acic physicians, common paediatricians, cardiologists and cardiac surgeons, orthopaedic surgeons, radiologists, nephrologists and geneti­ cists. The involvement of representatives of all of those disciplines is obvious within the pages that stick with and within the record of individuals; despite the fact that, a relevant subject within the care of sufferers with oesophageal atresia is they, and their households, may be able to establish with one health care professional who has the final word accountability for sufferer care and the counselling of the family.

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Extra info for Oesophageal Atresia

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L. and Holder, T. M. (1972) Familial occurrence of esophageal atresia: a preliminary report. Birth Defects: Original Article Series, Vol. VIII, no. 2, pp. 22-23. Sloan, H. and Haight, C. (1956) Congenital atresia of the esophagus in brothers. J. Thorac. , 32, 209-15. Stevenson, R. E. (1972) Extra vertebrae associated with esophageal atresias and tracheo-esophageal fistulas. J. , 81, 1123-9. Strodel, W. , Coran, A. , Kirsh, M. M. et al. (1979) Esophageal atresia: a 41-year experience. Arch. , 114, 523-7.

And London, W. (1952) Tracheo-esophageal anomaly in siblings. J. Med. Soc. , 47, 415. Cozzi, F. and Wilkinson, A. W. (1975) Low birth weight babies with oesophageal atresia or tracheo-oesophageal fistula. Arch. Dis. , 50, 791-5. Cudmore, R. E. (1978) in Neonatal Surgery (eds P. P. Rickham, J. Listed and 1. M. Irvine), Butterworths, London, pp. 191-2. Czeizel, A. and Ludanyi, 1. (1985) An aetiological study of the VACTERLassociation. Eur. J. , 144, 331-7. Dennis, N. , Nicholas, J. L. and Kovar, 1.

His clarity of thought, at a time when thoracic surgery had barely entered its infancy and neonatal surgery was even younger, is shown by the following paragraph: Direct anastomosis of the ends, with closure of the trachea, in an infant less than a week old is certainly a hazardous proceeding. I am not certain however, that it may not prove impossible, and, if so, would be the ideal operation. I do not wish to dismiss the idea of immediate union of the two segments of the oesophagus. The technical difficulties would be rather greater than that of the operation here suggested.

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