The part of the trachea which is involved with the fistula tract is resected (Figure B). Mobashir[8] defined the suture ligation technique which consists of dissecting the trachea from oesophagus and identifying the fistula tract to ligate it from both ends with primary suture. After separation of trachea and oesophagus, the fistula tract is resected, oesophageal defect is repaired by multilayer closure of mucosa and surrounding tissues, trachea is dissected substernally and mobilised cranially over the oesophagus. Our technique offers rapid repair of the fistula by creating a new tracheostoma which covers the repaired oesophagus. [Extracted from the article]