Purandare’s cervicopexy is done in :
**Core Concept**
Purandare's cervicopexy is a surgical procedure that involves the repair of a cervical esophagostomy by re-establishing an esophageal lumen in the neck. This procedure is typically performed in patients with advanced esophageal cancer or severe esophageal dysmotility.
**Why the Correct Answer is Right**
Purandare's cervicopexy is a palliative surgical procedure that aims to improve the patient's quality of life by restoring some degree of oral intake. The procedure involves the creation of a new esophageal lumen by suturing the cervical esophagostomy to the skin, allowing for the passage of a nasogastric tube or a feeding tube for enteral nutrition. This procedure is usually performed in patients who have a poor prognosis and are not candidates for more definitive surgical or nonsurgical interventions.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because Purandare's cervicopexy is not typically performed in patients with benign esophageal disorders, such as esophagitis or stricture.
**Option B:** This option is incorrect because the procedure is not primarily aimed at treating dysphagia or improving esophageal function, but rather as a palliative measure to improve the patient's quality of life.
**Option C:** This option is incorrect because the procedure is not typically performed in patients with a good prognosis or those who are candidates for more definitive surgical or nonsurgical interventions.
**Clinical Pearl / High-Yield Fact**
Purandare's cervicopexy is a useful procedure for patients with advanced esophageal cancer or severe esophageal dysmotility who require palliative care to improve their quality of life.
**Correct Answer:** C.