Multidisciplinary management of early esophageal fistula after anterior cervical spine surgery: a case report emphasizing team-based care.

IF 1 4区 医学 Q4 DERMATOLOGY
Lihua Bao, Jiaqian Wu, Xiaojing Ye, Laiyu Xu, Huiwen Zhan, Yue Qi
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引用次数: 0

Abstract

Background: Early esophageal fistula formation following anterior cervical spine surgery presents a formidable clinical challenge, necessitating astute rehabilitative nursing management. Such fistulas, if not promptly and effectively managed, can precipitate grave complications including mediastinitis, sepsis, respiratory failure, and, in severe instances, mortality. This underscores the critical need for immediate, comprehensive nursing interventions designed to mitigate these risks and enhance patient outcomes. Esophageal fistula is a rare but consequential complication after anterior cervical discectomy and fusion (ACDF), with numerous pathogenetic factors. Proactive preventive and interventional treatments are the key to rapid recovery.

Case report: In this case report, a 64-year-old female was discharged from the hospital 82 days after surgery with full recovery after a personalized rehabilitation care program based on the enhanced recovery after surgery (ERAS) concept.

Conclusion: It is important to consider follow-up in patients with spontaneously healed esophageal perforations. Aggressive prevention, early identification, and interventional treatment are key to reducing postoperative pain and facilitating recovery.

颈椎前路手术后早期食管瘘的多学科治疗:强调团队护理的一例报告。
背景:颈椎前路手术后早期食管瘘形成是一个巨大的临床挑战,需要精明的康复护理管理。如果不能及时有效地处理这些瘘管,可能会引发严重的并发症,包括纵隔炎、败血症、呼吸衰竭,严重时甚至会导致死亡。这强调了迫切需要立即采取全面的护理干预措施,以减轻这些风险并提高患者的预后。摘要食管瘘是颈前路椎间盘切除术及融合术(ACDF)后一种罕见但重要的并发症,其病因多种多样。积极的预防和介入治疗是快速康复的关键。病例报告:在本病例报告中,一名64岁女性在术后82天出院,在基于术后增强恢复(ERAS)概念的个性化康复护理计划后完全恢复。结论:食管穿孔自愈患者应考虑随访。积极预防、早期识别和介入治疗是减少术后疼痛和促进康复的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Wound management & prevention
Wound management & prevention Nursing-Medical and Surgical Nursing
CiteScore
1.70
自引率
8.30%
发文量
41
期刊介绍: Information not localized
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