Tracheal Reconstruction Using Pericardium in Emergency as a Life Saving Procedure in Cases of Severe Tracheal Stenosis
نویسندگان
چکیده
1 Resident, Dept of Cardio Thoracic and Vascular Surgery, S.M.S Medical College, Jaipur, Rajasthan, India, 2 Assistant Professor, Dept of Cardio Thoracic and Vascular Surgery, S.M.S Medical College, Jaipur, Rajasthan, India 3 Associate Professor, Dept of Cardio Thoracic and Vascular Surgery, S.M.S Medical College, Jaipur, Rajasthan, India 4 Professor and Head, Dept of Cardio Thoracic and Vascular Surgery, S.M.S Medical College, Jaipur, Rajasthan, India Corresponding Author Dr Dheeraj Sharma House No.530, Lane No.5, Infront of Hotel Bliss, Raja Park, Jaipur, Rajasthaan, India, Pin302004 [email protected], phone number: +918440963304 ABSTRACT Background: Post intubation tracheal stenosis followed by tracheostomy resulting in destruction of long segment of trachea remains a serious clinical problem. In this study we review our experience with technique of tracheal reconstruction using pericardial flap/patch as an emergency procedure to save life of patient. Method: Since Dec 2011 to Dec 2012, a total of 5 patients with tracheal stenosis as a result of intubation and tracheostomy were included in this study and examined for outcomes of stenosis management. Results: Our treatment strategy for treatment of long segment of tracheal stenosis with pericardial patch/flap was associated with good outcomes. The overall success rate was 80% with no early and late complications. Conclusion: Long term endotracheal intubation and tracheostomy results in destruction of long tracheal segment causing end to end and other repaires impossible. Therefore our technique for long segment tracheal stenosis using pericardium remains a good alternative in an emergency as a life saving procedure.
منابع مشابه
A Safe Method of Tracheal Polyflex Stent Placement: A Review of 20 Patients
BACKGROUND Surgery is an appropriate therapeutic approach for tracheal stenosis due to various benign and malignant conditions. When surgery is postponed for certain reasons, other options are chosen for airway patency. One alternative is using airway stents. OBJECTIVES We aimed to introduce a safe method of tracheal polyflex stent placement in patients with tracheal stenoses. PATIENTS AND ...
متن کاملA New Brace for Maintaining the Neck in a Suitable Position Following Tracheal Reconstruction
Segmental resection and end-to-end anastomosis is the treatment of choice for patients suffering from tracheal stenosis for whom conservative management is not planned. A complication of this procedure is tension-induced anastomotic failure. To prevent this complication, maintaining the neck in full flexion by means of a suture between the chin and upper chest is a traditional approach. We have...
متن کاملThe Role of Tracheal Stenting As an Alternative Treatment in Cicatricial and Non-Operable Tracheal Stenosis
Introduction: Tracheal stenosis is normally caused by trauma, infection, benign and malignant tumors, prolonged intubation or tracheostomy. The best treatment for tracheal stenosis is resection and anastomosis of trachea. Yet the major surgical complication of tracheal surgery is postoperative stenosis. The goal of this paper is to study the result of tracheal stenting as a replacement therap...
متن کاملTracheal T-Tube Stent for Laryngotracheal Stenosis: Ten Year Experience
Introduction: The purpose of this retrospective study was to evaluate the outcome following stenting over a period of 10 years in patients with chronic laryngotracheal stenosis. Materials and Methods: Between 2000–2010, out of 111 patients with laryngotracheal trauma, 71 underwent tracheal T-stenting for laryngotracheal stenosis in the Department of Otorhinolaryngology at the Governmen...
متن کامل