If there is radiographic confirmation that the wall of the oesophagus has been breached, immediate operation under antibiotic cover is indicated. For perforations of the cervical oesophagus, an approach via the anterior border of sternomastoid with retraction of the carotid sheath is taken. Lower perforations require a full thoracotomy.
The oesophagus is closed in two layers with non-absorbable sutures. A drain may be left in situ.
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.