Extrapleural exclusion of esophageal perforations.

Perforations of the esophagus require prompt treatment. We have described a patient in whom extrapleural exclusion of a primary repair was used. This procedure, which has not been previously reported, is not technically difficult and is similar to the approach used in the treatment of tracheoesophageal fistula. It allows good mediastinal drainage and prevents pleural soilage by providing an effective buttress to the esophageal repair.