scholarly journals First-line tracheal resection and primary anastomosis for postintubation tracheal stenosis

2016 ◽  
Vol 98 (6) ◽  
pp. 425-430 ◽  
Author(s):  
H Elsayed ◽  
AM Mostafa ◽  
S Soliman ◽  
T Shoukry ◽  
AA El-Nori ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
De Novo ◽  
Primary Anastomosis ◽  
Length Of Hospital Stay ◽  
Tracheal Resection ◽  
Endoscopic Dilation ◽  
First Line ◽  
Median Length ◽  
A Prospective Study ◽  
Resection And Anastomosis

Introduction Tracheal stenosis following intubation is the most common indication for tracheal resection and reconstruction. Endoscopic dilation is almost always associated with recurrence. This study investigated first-line surgical resection and anastomosis performed in fit patients presenting with postintubation tracheal stenosis. Methods Between February 2011 and November 2014, a prospective study was performed involving patients who underwent first-line tracheal resection and primary anastomosis after presenting with postintubation tracheal stenosis. Results A total of 30 patients (20 male) were operated on. The median age was 23.5 years (range: 13–77 years). Seventeen patients (56.7%) had had previous endoscopic tracheal dilation, four (13.3%) had had tracheal stents inserted prior to surgery and one (3.3%) had undergone previous tracheal resection. Nineteen patients (63.3%) had had a tracheostomy. Eight patients (26.7%) had had no previous tracheal interventions. The median time of intubation in those developing tracheal stenosis was 20.5 days (range: 0–45 days). The median length of hospital stay was 10.5 days (range: 7–21 days). The success rate for anastomoses was 96.7% (29/30). One patient needed a permanent tracheostomy. The in-hospital mortality rate was 3.3%: 1 patient died from a chest infection 21 days after surgery. There was no mortality or morbidity in the group undergoing first-line surgery for de novo tracheal lesions. Conclusions First-line tracheal resection with primary anastomosis is a safe option for the treatment of tracheal stenosis following intubation and obviates the need for repeated dilations. Endoscopic dilation should be reserved for those patients with significant co-morbidities or as a temporary measure in non-equipped centres.

scholarly journals Outcome of intussusception among children in Kano

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Lawal B. Abdullahi ◽  
Mohammad A. Mohammad ◽  
Lofty-John C. Anyanwu ◽  
Mohammad S. Aliyu ◽  
Bilya I. Liman
Keyword(s):  
Intestinal Obstruction ◽  
Demographic Data ◽  
Length Of Hospital Stay ◽  
Wound Dehiscence ◽  
Exploratory Laparotomy ◽  
Late Presentation ◽  
Adjacent Segment ◽  
Common Cause ◽  
A Prospective Study ◽  
Resection And Anastomosis

Intussusception is defined as the telescoping of a segment of the gastrointestinal tract within the lumen of the adjacent segment usually proximal to distal. It is a common cause of intestinal obstruction in children, rarely it can occur in adult. This condition is reported in both developed and developing countries, however there are few publications in Nigeria about the incidence, presentation and outcome of its management, most especially in children. This is a prospective study of pediatric patients managed in single center Kano over a period of 18months. The demographic data, clinical features, treatment and outcome of the management were evaluated and analyzed using SPSS version 23. Between June 2018 to December 2019, twenty-five children were managed with intussuception at Aminu Kano Teaching Hospital, there were 16 males and 9 females. The age of the patients ranges between 5 months to 6 years with most of patients in the ager range between 6 and 12 months. All of the 25 patients had exploratory laparotomy with manual reduction in 12 patients, while 13 patients had resection and anastomosis. Non-operative reduction using normal saline under ultrasound guidance was attempted for 2 patients, which was not successful. The length of hospital stay ranged between 4 days and 22 days. Few complications were observed which includes surgical site infection, wound dehiscence, postoperative ileus. One patient was re-operated for recurrent intussuception. Two patients died post operatively, while 23 patients were discharged home alive. Intussuception is still a common cause of intestinal obstruction in children in Kano. Late presentation was found to be associated with higher morbidity (complications).

scholarly journals Reinforcement of an end-to-end Tracheal Resection Anastomosis with Fibrin Glue: A Case Report

2001 ◽  
Vol 80 (4) ◽  
pp. 234-238 ◽  
Author(s):  
Ashutosh Kacker ◽  
Jerry Huo
Keyword(s):  
Case Report ◽  
Fibrin Glue ◽  
Tracheal Stenosis ◽  
Fibrin Sealant ◽  
Primary Anastomosis ◽  
Tracheal Resection ◽  
Short Segment ◽  
Prolonged Intubation ◽  
Airtight Seal ◽  
Fatal Complications

Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: anastomosis breakdown and leak. We describe the case of a 67-year-old man who was treated for a 3-cm tracheal stenosis secondary to a prolonged intubation and multiple tracheostomies. The patient underwent a tracheal resection and primary anastomosis. The anastomosis was reinforced with fibrin sealant, which created an airtight seal. The patient was extubated postoperatively, and he healed without complication. Fibrin sealant is a convenient, safe, and effective material for reinforcing anastomotic suture lines.

scholarly journals Treatment of a case of tracheal stenosis in a dog with tracheal resection and anastomosis

2012 ◽  
Vol 48 (No. 11) ◽  
pp. 339-342 ◽  
Author(s):  
Z. Mutlu ◽  
Acar SE ◽  
C. Perk
Keyword(s):  
General Anesthesia ◽  
Clinical Examination ◽  
Tracheal Stenosis ◽  
Postoperative Period ◽  
Tracheal Resection ◽  
Late Period ◽  
Healthy Life ◽  
Breathing Difficulty ◽  
Cervical Portion ◽  
Resection And Anastomosis

A case of tracheal stenosis in the cervical portion of the trachea was encountered in a 5.5-month-old St. Bernard-Ro􀄴weiler cross dog. Breathing difficulty was seen in the clinical examination and presence of an obvious narrowing between the 3rd–5th cervical tracheal rings was determined in the radiological examination. Under general anesthesia the portion with stenosis was resected and the healthy trachea ends were anastomosed using the split cartilage technique. In the postoperative period the breathing difficulty disappeared and there was no development of a new stenosis in the anastomosis region. In the late period check-up the patient was seen to lead a healthy life.

scholarly journals Tracheal Stenosis After Endotracheal Intubation and Percutaneous Dilatational Tracheostomy

2018 ◽  
Vol 26 (3) ◽  
pp. 238-242
Author(s):  
Camelia Herdini ◽  
Agus Surono ◽  
Supomo Supomo ◽  
Jessica Fedriana
Keyword(s):  
Endotracheal Intubation ◽  
Tracheal Stenosis ◽  
Traffic Accident ◽  
Vocal Fold ◽  
Primary Anastomosis ◽  
Percutaneous Dilatational Tracheostomy ◽  
Tracheal Ring ◽  
Tracheal Resection ◽  
Tracheal Lumen ◽  
Dilatational Tracheostomy

Introduction Tracheal stenosis is an abnormal narrowing of the tracheal lumen which affects adequate airflow and caused by an inflammatory complication such as endotracheal intubation and percutaneous dilatational tracheostomy (PDT). Incidence of tracheal stenosis following endotracheal intubation and PDT was 8-44%. Case Report A 24 year old female presented with dyspnea and hoarseness after traffic accident. She was intubated for 2 weeks then followed by PDT for 3 weeks. The laryngoscopy examination after PDT extubation showed tracheal stenosis at the second-third tracheal ring with left vocal fold granuloma. Cervical computed tomography demonstrated a mass at vocal cord and narrowing of tracheal caliber at the first thoracic vertebra disk, above the stoma of PDT.The granuloma was excised and tracheal stenosis was removed by tracheal resectionand end-to-end anastomosis.  Discussion Tracheal stenosis is one of important sequelae after endotracheal intubationand PDT. Tracheal resection and primary anastomosis may be considered as an option for surgical management of tracheal stenosis.

An Experimental Study on Timing in Tracheal Stenosis Surgery

2021 ◽  
Author(s):  
Umit Aydogmus ◽  
Gokhan Ozturk ◽  
Argun Kis ◽  
Yeliz Arman Karakaya ◽  
Hulya Aybek ◽  
...  
Keyword(s):  
Experimental Study ◽  
Tracheal Stenosis ◽  
Biochemical Markers ◽  
Group Iv ◽  
Tracheal Resection ◽  
Group Iii ◽  
Tnf Α ◽  
Post Traumatic ◽  
The Mean ◽  
Resection And Anastomosis

Abstract Background TNF-α, IL-6, and TGF-β are important bio mediators of the inflammatory process. This experimental study has investigated inflammatory biomarkers' efficacy to determine the appropriate period for anastomosis surgery in tracheal stenosis cases. Methods First, a pilot study was performed to determine the mean stenosis ratio (SR) after the surgical anastomosis. The trial was planned on 44 rats in four groups based on the pilot study's data. Tracheal inflammation and stenosis were created in each rat by using micro scissors. In rats of groups I, II, III, and IV, respectively, tracheal resection and anastomosis surgery were applied on the 2nd, 4th, 6th, 8th weeks after the damage. The animals were euthanized 8 weeks later, followed by histopathological assessment and analysis of TNF-α, IL-6, and TGF-β as biochemical markers. Results Mean SR of the trachea were measured as 21.9 ± 6.0%, 24.1 ± 10.4%, 25.8 ± 9.1%, and 19.6 ± 9.2% for Groups I to IV, respectively. While Group III had the worst SR, Group IV had the best ratio (p = 0.03). Group II had the highest values for the biochemical markers tested. We observed a statistically significant correlation between only histopathological changes and TNF-α from among the biochemical markers tested (p = 0.02). It was found that high TNF-α levels were in a relationship with higher SR (p = 0.01). Conclusion Tracheal anastomosis for post-traumatic stenosis is likely to be less successful during the 4th and 6th weeks after injury. High TNF-α levels are potentially predictive of lower surgical success. These results need to be confirmed by human studies.

Primary cervical tracheal monophasic synovial sarcoma confirmed by SYT–SSX gene rearrangement

2011 ◽  
Vol 125 (6) ◽  
pp. 651-654 ◽  
Author(s):  
C E Corrales ◽  
G Berry ◽  
E J Damrose
Keyword(s):  
Synovial Sarcoma ◽  
Gene Rearrangement ◽  
Primary Anastomosis ◽  
Neck Surgery ◽  
Tracheal Resection ◽  
First Line ◽  
Diagnostic Modalities ◽  
One Year ◽  
Rare Diagnosis ◽  
First Line Treatment

AbstractObjective:To review the existing diagnostic modalities and treatment for primary tracheal synovial sarcoma, and to report a case of primary cervical synovial sarcoma arising in the trachea.Design:Retrospective.Setting:Head and neck surgery unit at a tertiary university centre.Patient:One case of primary cervical tracheal monophasic synovial sarcoma diagnosed by SYT–SSX gene rearrangement.Intervention:This patient underwent surgical resection of the synovial sarcoma, together with tracheal resection and primary anastomosis assisted by laryngeal-releasing manoeuvres, without complication.Main outcome measures:Clinical, radiographical, pathological and surgical information were collected.Result:One year post-operatively, there was no evidence of recurrence.Conclusion:Synovial sarcoma arising in the trachea is very rare. Diagnosis is confirmed by demonstrating the SYT–SSX gene rearrangement. The first-line treatment is surgery.

Tracheal Resection and Anastomosis After Traumatic Tracheal Stenosis in a Horse

2014 ◽  
Vol 44 (2) ◽  
pp. 265-269 ◽  
Author(s):  
Timothy P. Barnett ◽  
Claire S. Hawkes ◽  
Padraic M. Dixon
Keyword(s):  
Tracheal Stenosis ◽  
Tracheal Resection ◽  
Resection And Anastomosis

scholarly journals Outcomes of transecting urethroplasty in management of different types of bulbar urethral strictures: single center experience

2021 ◽  
Author(s):  
Ayman Moussa Atwa ◽  
Ayman Ahmed Hassan ◽  
Samir Shabaan Orabi ◽  
Samir Abdelhakim Elgamal ◽  
Osama Mostafa Elgamal
Keyword(s):  
Erectile Dysfunction ◽  
Success Rate ◽  
De Novo ◽  
Primary Anastomosis ◽  
Success Rates ◽  
Single Center Experience ◽  
Urethral Strictures ◽  
Micturating Cystourethrogram ◽  
A Prospective Study ◽  
Anastomotic Urethroplasty

Background: The study aimed to evaluate the outcomes of transecting bulbar urethroplasty techniques used for management of bulbar urethral stricture as regards the success rate and sexual dysfunction.Methods: Our study was a prospective study and it was carried out at urology department Tanta university, Egypt. The study was approved our ethical committee and an informed consent was obtained from all participants. Thirty patients underwent transecting urethroplasty either excision and primary anastomosis (EPA) or augmented anastomotic urethroplasty. Assessment of the sexual function by sexual health inventory for men (SHIM) questionnaire and postoperatively. Retrograde urethrogram (RGU) and micturating cystourethrogram (MCUG) were performed by an experienced urological surgeon.Results: The age of studied patients ranged from 15-72 years with a mean of  41±13.87. The length of stricture ranged from 2-3 cm with a mean of 2.57±0.38. The stricture was non obliterative in 13 patients (43.3%), obliterative in 4 patients (13.3%) and near obliterative in 13 patients (43.3%). Anastomotic urethroplasty was carried out in 20 out of 30 patients (66.7%) and augmented anastomotic urethroplasty was carried out in 10 out of 30 patients (33.3%). The success rate was 90%. As regard erectile dysfunction, 5 patients reported erectile dysfunction (16.7%).Conclusions: Anastomotic urethroplasty of short segment bulbar strictures continues to have excellent success rates and durability, but some patients who undergo anastomotic urethroplasty experience de novo sexual dysfunction.

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