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2020, Number 1

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Invest Medicoquir 2020; 12 (1)

Surgical complications of traqueal stenosis

Batista MG, Domínguez CJ, Piñeiro PD, Collera RSA, Mesa GM, García EI

Language: Spanish
References: 21
Page:
PDF size: 193.55 Kb.


ABSTRACT

Introduction: Tracheal stenosis is a relatively uncommon pathology creating dramatic and lethal situations in those who suffer from it. One of the complications that may occur with surgical treatment are restenosis. Methods. A descriptive study was carried out, in a total of 51 patients, of both sexes, with the diagnosis of tracheal stenosis in the General Surgery Service of Surgical Medical Research Center in the period from January 1995 to January 2017. The surgical technique used included the exeresis of the stenotic zone with terminal terminal anastomosis in which a standardized sequence was maintained at the different moments of the surgery with the purpose of avoiding damage to healthy tissue. The variables evaluated were: clinical manifestations, diseases associated with endotracheal intubations, etiology and location of the stenosis, location of the stenosed tracheal ring, surgical technique used, degree of stenosis, complications and results of surgical treatment. Patients with benign pathologies were followed clinically and endoscopically for two years. Results: In relation to the surgical technique, the exact place to perform the incision in the trachea and resect only the injured part, preserving the greatest amount of healthy tissue the tension in the suture line (cause the restenosis) was avoided after which lateral dissection was made below 0,5 cm, important to preserve the vascularization of the tissue, all of which would avoid subsequent complications. Conclusions. In this study, no patient evolved to restenosis.


REFERENCES

  1. Goodall EW (1934). The Story of tracheotomy Br J Chid Dis; 31:167-253.

  2. Frost EA. Tracing the tracheostomy. Ann OtolRhinolLaryngol 1976; 85:618-24

  3. Fuentes Valdés E, Corona Mancebo SB. Reoperación en cirugía traqueal. Revista Cubana de Cirugía 2013;52(3):162-172.

  4. Rocabado JL, Roldan R.T, el al. Rev. Chilena de Cirugía. 2007;59(6): 408-416.

  5. Grillo HC. Development of tracheal surgery: a historical review. Part 1: Techniques of tracheal surgery. Ann ThoracSurg 2003;75(2):610-619.

  6. Zias N, Chroneou A, Tabba MK, Gonzalez A V, Gray AW, Lamb CR, Riker DR, Beamis JF. Post tracheostomy and post intubation tracheal stenosis: Report of 31 cases and review of the literatura. BMC Pulmonary Medicine 2008, Sep 21;8:18

  7. KandakureVT, Mishra S, Lahane VJ. Management of Post-traumatic Laryngotracheal Stenosis: Our Experience.Indian J Otolaryngol Head Neck Surg. 2015; 67(3): 255–260.

  8. CabezalíBarbanchoD, Antón-Pacheco J, López Díaz M, Tejedor Sánchez R, Cuadros García J, Gómez Fraile A. Estenosis traqueal adquirida: estrategia diagnóstica y terapéutica. CirPediatr 2007; 20:19-24.

  9. Leschber G. Management of tracheal surgery complications. Thorac.SurgClin. 2014;24(1):107-116. Valadez-Caballero D, Pérez-Romo A, González V, Flores-Calderón O, et al. Tratamiento quirúrgico de la estenosis traqueal. Cirujano General 2009; 31(4):239-243.

  10. Mitchell JD. Laryngotracheal resection and reconstruction. Operative Techniques in Thoracic and Cardiovascular Surgery 2015,20(1): 46–62

  11. Martin de Nicolás Serrahima JL. Recursos técnicos en cirugía traqueal. Rev Patol Resp 2006;9(Supl.1):43-44.

  12. Fuentes Valdés E. Valor del tratamiento quirúrgico en la estenosis isquémica traqueal y laringotraqueal. Tesis en opción al grado científico de doctor en ciencias médicas. Ciudad de la Habana, 2005.

  13. Obregón-Guerrero G, Martínez-Ordaz JL, Peña-García JF, Ramírez-Martínez M, Jurado-Reyes J, Pérez-Álvarez C. Complicaciones anastomóticas posteriores a la plastia traqueal por estenosis traqueal postintubación. CirCir 2013; 81(6):485-489.

  14. Grillo HC, Donahue DM, Mathisen DJ, Wain JC, Wright CD.Postintubation tracheal stenosis. Treatment and results.The Journal of Thoracic and Cardiovascular Surgery 1995;109(3):486-493

  15. Fatimi SH, Qasim Raza M, Ghani A, Shah N, Ashfaq A. Tracheal reconstruction for complex acute tracheal stenosis. Annals of Medicine and Surgery 2013;2(2):57-59.

  16. Delgado Pecellín I, González Valencia JP, Machuca Contreras M, Pineda Mantecón M. Clínica, diagnóstico y tratamiento de las estenosis traqueales. An Pediatr (Barc) 2009;70(5): 443-448.

  17. Nair S, Mohan S, Mandal G, Nilakantan A. Tracheal Stenosis: Our Experience at a Tertiary Care Centre in India with Special Regard to Cause and Management.Indian J Otolaryngol Head Neck Surg. 2014; 66(1): 51–56.

  18. Kumar A, Asaf BB, Puri HV, Abdellateef A. Resection and anastomosis for benign tracheal stenosis: Single institution experience of 18 cases. Lung India. 2017 Sep-Oct;34(5):420-426.

  19. Cooper JD. Surgery of the airway: historic notes.J Thorac Dis2016 ;8(Suppl 2):S113-S120.

  20. Couraud L, Jougon JB, Velly JF, Surgical Treatment of NontumoralStenoses of the Upper Airway. Ann ThoracSurg 1995;60: 250-60.

  21. Stoelben E, Koryllos A, Beckers F, Ludwig C. Benign stenosis of the trachea. ThoracSurgClin. 2014;24(1):59-65.




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