Buttress reinforcement of a primary esophageal repair after perforatio
n may diminish the potential for breakdown or leakage of the approxima
tion. We describe a method of reinforcing a primary esophageal repair
by using pleural tissue that is secured in place with an extrapleural,
soft T-tube attached to a suction device. This technique is simple to
apply and may maximize recovery of respiratory function by permitting
timely removal of chest tubes.