atla.doereport.comatla.doereport.comTracheoesophageal Fistula Repair (Pediatric) - Medical Animation
Tracheoesophageal Fistula Repair (Pediatric) - Medical Animation

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Tracheoesophageal Fistula Repair (Pediatric) - Medical Animation
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Tracheoesophageal Fistula Repair (Pediatric) - Medical Animation
A tracheoesophageal fistula is a birth defect in which the esophagus has an abnormal connection to the trachea. The esophagus is the tube that food passes through from the mouth to the stomach. And the trachea is the wind pipe that air passes through from the mouth and nose to the lungs. The trachea forms during the sixth week of pregnancy. Here you can see the tube that will eventually form all the organs of the digestive system. The trachea and lungs grow from a part of the digestive tube that will eventually become the esophagus. For unknown reasons, the esophagus and trachea may grow and separate abnormally during this time. The esophagus may end in a blind pouch with missing gaps, and be abnormally narrow. This absence, or narrowing, of a natural body passageway is called atresia. The esophagus and trachea may also have an abnormal connection called a tracheoesophageal fistula. Here we see the most common type of tracheoesophageal fistula in a newborn infant. The upper esophagus ends in a blind pouch. And the lower esophagus connects to the trachea. This is a serious problem, because stomach contents can travel up the esophagus and pass through the fistula into the trachea and lungs. The fistula can also cause difficulty breathing for the newborn, since air can now bypass the lungs and enter the stomach. Before a tracheoesophageal fistula repair procedure, an intravenous line will be started. The baby maybe given antibiotics through the IV to decrease the chance of infection. The baby will be given general anesthesia, which will put the baby to sleep for the entire operation. A breathing tube will be inserted through the mouth and down the throat to help the baby breathe during the operation. The surgeon will make an incision in the baby's chest, usually on the right side. Through the incision, the surgeon will gently move the lungs aside to view the trachea and esophagus. After identifying the tracheoesophageal fistula, the surgeon will slowly close the fistula's connection to the trachea with sutures, then cut the connection away from the trachea. The fistula's connection to the esophagus will also be cut, and the fistula will be removed. Next, the surgeon will make an incision at the end of the upper esophagus to open it. Then, the upper and lower esophagus will be connected with sutures. Finally, the surgeon will insert a surgical drain in the chest and close the incision with sutures. After the procedure, the baby will continue to use the breathing tube until they've healed enough to breathe on their own. The baby will be taken to the neonatal intensive care unit for monitoring. Pain medication will be given. The baby may continue to receive antibiotics through the IV. Babies are released from the hospital when they're able to eat enough to maintain their weight, which may be after two weeks or longer.

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What attorneys say about MLA and The Doe Report:
"Our practice involves medical negligence cases exclusively. We have six attorneys and one physician on staff. We have used Medical Legal Art's staff for every one of our cases over the past 12 years and have found their services to be extraordinary. The transformation of medical records into powerful graphic images has without fail been handled expertly, expeditiously and effectively translating into superb results for our clients, both in the courtroom and in settlement. Every case can benefit from their excellent work and we unqualifiedly recommend their services. They are the best!"

Chris Otorowski
Morrow and Otorowski
Bainbridge Island, Washington

"The illustrations have consistently been well documented, accurate and timely. Most important though is that the illustrations demonstrate to juries and claims people the persuasive power of visual communication. Our firm has achieved multiple eight figure settlements and verdicts over the past ten years... Medical Legal Art has been there with us on every case."

Thomas C. Jones
Davis, Bethune & Jones, L.L.C.
Kansas City, MO

"I wanted to take some time out to let you know what a wonderful job you did with the 'collapsed lung/fractured rib' illustrations. They were both detailed and accurate. My medical expert was comfortable working with them and he spent at least an hour explaining to the jury the anatomy of the lungs, the ribs and the injuries depicted in the illustrations. Needless to say, the jury was riveted to the doctor during his testimony.

The jury returned a verdict for $800,000.00 and I'm sure we would not have done so well if not for the visualizations we were able to put forth with your assistance. Lastly, my special thanks to Alice [Senior Medical Illustrator] who stayed late on Friday night and patiently dealt with my last minute revisions."

Daniel J. Costello
Proner & Proner
New York, NY

"We got a defense verdict yesterday! Your exhibit was extremely helpful in showing the jury how unlikely it is to damage all four of the nerve branches which control the sense of taste."

Karen M. Talbot
Silverman Bernheim & Vogel, P.C.
Philadeplphia, PA

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