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.

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.

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 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 Tracheal Resection and Anastomosis for Postintubation Tracheal Stenosis

2014 ◽  
Vol 2 (2) ◽  
pp. 48
Author(s):  
Anup Acharya ◽  
Madan Mohan Singh ◽  
Yeshwant Gajanan Tambay
Keyword(s):  
Intensive Care Unit ◽  
Tracheal Intubation ◽  
Tracheal Stenosis ◽  
High Volume ◽  
Definitive Treatment ◽  
Tracheal Resection ◽  
Tubercular Meningitis ◽  
Pressure Cuff ◽  
Post Intubation ◽  
Resection And Anastomosis

Introduction: Tracheal stenosis is one of the dreaded complication of tracheal intubation. Tracheal resection and anastomosis is an established definitive treatment for stenosis more than one cm. Here, we present a case of postintubation tracheal stenosis managed by resection and anastomosis, first of its kind in our centre. Case Report: We present a case of 26-year female who underwent tracheal intubation during her treatment of tubercular meningitis. Two weeks later, she returned with respiratory difficulty. A diagnosis of post-intubation tracheal stenosis was made. Tracheal resection and anastomosis was done. Recovery was uneventful and she was discharged on 14th post-operative day. Conclusion: Post-intubation tracheal stenosis is still a dreaded complication even after the introduction of high volume low pressure cuff. They can be successfully managed. Care personnel in intensive care unit (ICU) should perform to prevent this complication.

Preoperative retrograde reintubation during partial tracheal resection and anastomosis in a cat with severe tracheal stenosis

2020 ◽  
Vol 8 (3) ◽  
pp. e001120
Author(s):  
Anneleen Jozef Helena Cristoffel Michielsen ◽  
Tim Bosmans ◽  
Bart Van Goethem ◽  
Anna Binetti ◽  
Stijn Schauvliege
Keyword(s):  
Tracheal Stenosis ◽  
Patient Positioning ◽  
Anaesthetic Management ◽  
Tracheal Resection ◽  
Intubation Technique ◽  
Anaesthetic Depth ◽  
Retrograde Intubation ◽  
Resection And Anastomosis ◽  
Stenotic Area ◽  
Rate Infusion

A seven-month-old European shorthair cat was presented with dyspnoea and expiratory stridor due to a severe obstructive tracheal stenosis. Surgical resection of the stenotic area and anastomosis of the remaining parts of the trachea were performed. The anaesthetic management of a patient during tracheal resection is an anaesthetic challenge. Total intravenous anaesthesia with propofol and a continuous rate infusion of fentanyl were chosen to maintain a surgical anaesthetic depth and to ensure pain control. Endotracheal extubation was necessary at a specific time during the surgical procedure. However, subsequent oral reintubation was complicated, due to patient positioning and the presence of laryngeal spasms. Reintubation was only successful by means of a modified retrograde intubation technique. Recovery was satisfactory and uneventful.

Traumatic tracheostomy in a dog

2020 ◽  
Vol 8 (3) ◽  
pp. e001211
Author(s):  
Virginia Papageorgiou ◽  
Kyriakos Chatzimisios ◽  
Vasileia Angelou ◽  
George Kazakos ◽  
Lysimachos G Papazoglou
Keyword(s):  
Respiratory Disease ◽  
Clinical Examination ◽  
Clinical Signs ◽  
Cervical Region ◽  
Tracheal Resection ◽  
Short Term ◽  
Postsurgical Complications ◽  
Mixed Breed ◽  
Healing Wound ◽  
Resection And Anastomosis

A two-year-old, mixed breed, female intact dog was referred for further investigation and treatment of a chronic non-healing wound in the cervical region. The wound was secondary to a circumferential wire collar injury. Clinical examination revealed a cervical tracheal transection resembling a traumatic tracheostomy. The dog underwent closure of the tracheostomy by tracheal resection and anastomosis in a split-cartilage technique. No serious postsurgical complications were observed apart from short-term coughing. Eighteen months after surgery, the dog was reported to be free of clinical signs of respiratory disease.

Cervical Tracheal Resection and Anastomosis for Postintubation Tracheal Stenosis

2018 ◽  
Vol 29 (6) ◽  
pp. e578-e582 ◽  
Author(s):  
Muzaffer Kanlikama ◽  
Fatih Celenk ◽  
Burhanettin Gonuldas ◽  
Secaattin Gulsen
Keyword(s):  
Tracheal Stenosis ◽  
Tracheal Resection ◽  
Resection And Anastomosis
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