A new method of hemomotordynamic monitoring of an isoperistaltic gastric graft in esophagoplasty was evaluated in the clinic in 27 patients. The method was found to be adequate in determining and ensuring viability of the grafts. The presence of an intramural pulse in all parts of the graft is the criterion of its viability. Monitoring allows early diagnosis and timely surgical and drug correction of reparable ischemic disorders. The change of the surgical tactics during the operation consists in abandoning one-stage formation of the anastomosis and placing the graft in a subcutaneous bed.
Esophagoplasty Female