Primary esophageal anastomotic using mattress suturing technique in cases of esophageal atresia with fistula

Abstract

Background: Esophageal atresia (EA) is a common congenital malformation occurring in approximately 1 in 2500−3000 lives births. Developed countries have survival rates of 90% for newborns with esophageal atresia, whereas developing countries have a much lower percentage. We report the suturing technique in EA on the mortality outcomes from newborns with EA in Tarakan General Hospital, Jakarta, Indonesia. The study was to investigate two different suturing techniques to identify the advantages and disadvantages for esophageal atresia patients who underwent primary esophageal anastomosis based on clinical manifestations and early complications post operation. Method: From 2016 to 2022, we collected 25 research samples from Tarakan General Hospital in the form of newborns with esophageal atresia. The study was analyzed using descriptive and analytical statistics. Result: A total of 25 EA cases were included in the study, and all underwent primary esophageal anastomosis. In Tarakan General Hospital, the average age of patients with esophageal atresia underwent thoracotomy was 18.28±5.77 days. There were 14 females (56%) and 11 males (44%), respectively, among the newborns with EA. The most common type of EA was EA with distal tracheoesophageal fistula (TEF) or EA type C, which had 23 cases (92%) while Waterston B had 16 cases (64%). Mattress suture was used in 11 patients (44%), whereas simple suture was used in the remaining patients. Sepsis and leakage occurred among 14 (56%) and 5 (20%) patients, respectively. As shown by bivariate analysis, sepsis is substantially associated with mortality (p