Abstract
Abstract Background Over the years the teaching has being a radical open approach to boerhaaves. Here at Queen Alexandra Hospital, we wanted to show a minimally invasive approach to boerhaaves and prove to be a feasible option, obviously in selected cases and under a specialist UGI unit. Methods A recording was obtained of the case and the endoscopy with permission. Results We were able to contain mediastinal contamination while at the same time, primarily repair the laceration transhiatally. Patient was extubated the same evening without any support. Patient was moving around day 1. Conclusions In selected patients, a minimally invasive approach to boerhaaves, wether it be thorascopically or laparoscopically should be considered. This should ultimately be performed under a UGI specialist unit.
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