Boerhaave Syndrome is a rare but life-threatening condition characterized by **spontaneous full-thickness rupture of the esophagus**, most commonly following forceful vomiting or a sudden increase in intra-esophageal pressure. It is a true surgical emergency, and delayed diagnosis can rapidly lead to mediastinitis, sepsis, shock, and death. Prompt recognition and early surgical intervention are essential for improving patient outcomes.
In this comprehensive educational lecture, **Dr. R.K. Mishra** explains the anatomy, pathophysiology, causes, clinical presentation, diagnosis, and modern management of Boerhaave Syndrome. Learn about the classic **Mackler's triad** of severe chest pain, vomiting, and subcutaneous emphysema, as well as the role of CT scan, contrast esophagography, chest X-ray, and upper GI endoscopy in establishing the diagnosis.
The lecture also covers emergency resuscitation, broad-spectrum antibiotics, drainage of mediastinal contamination, primary esophageal repair, minimally invasive thoracoscopic and laparoscopic approaches, endoscopic stenting, and postoperative intensive care. Special emphasis is placed on the importance of early diagnosis, patient selection, and choosing the appropriate treatment based on the timing and extent of the perforation.
This video is ideal for general surgeons, gastrointestinal surgeons, thoracic surgeons, emergency physicians, gastroenterologists, intensivists, residents, fellows, and healthcare professionals managing upper gastrointestinal emergencies.
### **Topics Covered:** - What is Boerhaave Syndrome? - Anatomy of the esophagus - Pathophysiology of spontaneous esophageal rupture - Causes and risk factors - Mackler's triad and clinical presentation - CT scan, contrast esophagography, and endoscopy - Differential diagnosis - Emergency resuscitation and antibiotic therapy - Surgical and minimally invasive treatment options - Endoscopic stenting and postoperative care - Prognosis and prevention of complications
Watch more advanced laparoscopic, thoracic, and gastrointestinal surgery lectures from **World Laparoscopy Hospital**, a globally recognised centre for training in minimal access and robotic surgery.
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**Keywords:** Boerhaave Syndrome, spontaneous esophageal rupture, esophageal perforation, Mackler's triad, mediastinitis, thoracic surgery, upper GI surgery, gastrointestinal emergency, CT diagnosis, contrast esophagography, endoscopic stent, laparoscopic surgery, minimally invasive surgery, emergency surgery, surgical education, Dr R K Mishra, World Laparoscopy Hospital, esophageal repair, chest pain, gastrointestinal surgery