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Anales de Otorrinolaringología Mexicana

2015, Number 2

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Otorrinolaringología 2015; 60 (2)

Trans- and post-surgical complications Aceptado: between percutaneous vs open tracheostomies in patients from Medical Center Toluca, ISSEMyM. Experience at 10 years

Jasso-Ramírez E, García-Enríquez B, López-Carrillo ML

Language: Spanish
References: 27
Page: 82-88
PDF size: 390.69 Kb.


ABSTRACT

Objectives: To identify and compare the complications during and after tracheostomy with open and percutaneous technique.
Material and method: A retrospective, comparative and observational study of patients submitted to open and percutaneous tracheostomy from 2003 to 2013; 336 files from patients submitted to tracheostomy were reviewed: 245 with percutaneous technique and 91 with open technique to identify trans- and post-surgical complications in 10 years. Statistical analysis was done with the program SPSS version 11.5 (SPSS, Inc., Chicago, Ill.), using the χ2 test and Fisher exact test, considering significant p ‹0.05.
Results: There were 5% of trans-surgical complications and 10% postsurgical complications. A significant difference was reported in postsurgical bleeding in open tracheostomy.
Conclusions: Both techniques are safe, according to our results, because complication rates were low; however, it is important to individualize the procedures, because they have very specific indications to avoid complications.


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