Partial laryngotracheal resection and anastomosis, institutional 10 years’ experience

Intussusception is the most common cause of intestinal obstruction in infants and children in < 1yr of age (1). Intussusception cases usually reported late therefore operative procedure was inevitable and results in significant morbidity and mortality. By this study we emphasized on timely transfer of intussusception case to a pediatric surgical center so as to decrease surgical risk. The surgical morbidity was low in those who were admitted early or directly to our center. Methods - We retrospectively reviewed cases of intussusception in children <15 years. Children were treated from October 2015 to December 2107 at pediatric surgery department of SMS medical college Jaipur Rajasthan. Age, sex, month of admission, symptom with duration, diagnostic methods, and treatment modalities were recorded and analyzed. Results - We studied 300 patients with intussusception.272 (90%) were treated surgically. We recently started ultrasonography guided pneumatic reduction and 24(85.7%) out of 28 treated successfully by it. Out of the patients requiring surgery 202 (67.34%) patients were reduced by per-operative manual reduction and in 60(22%) patients resection and anastomosis with 10(3.6%) treated with resection and ileostomy. 25.34% cases have delayed diagnosis and lately transferred from peripheral hospitals requiring resection and diversion. Conclusion - In conclusion, Intussusception cases usually reported late therefore high likelihood of surgical management. The patients who underwent resection have longer duration of hospital stay.

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Laparoscopic resection of rectovaginal endometriosis involving segmental bowel resection and anastomosis: pre‐operative planning, intra‐operative decision making, description of technique, and tips and tricks for a successful outcome.

Colorectal Disease ◽

10.1111/codi.15737 ◽

2021 ◽

Author(s):

T Bainton ◽

V Celentano ◽

J Phillips ◽

O Warren ◽

R Richardson ◽

...

Keyword(s):

Decision Making ◽

Laparoscopic Resection ◽

Bowel Resection ◽

Successful Outcome ◽

Tips And Tricks ◽

Rectovaginal Endometriosis ◽

Segmental Bowel Resection ◽

Operative Planning ◽

Resection And Anastomosis

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BRONCHIAL RESECTION AND ANASTOMOSIS

Journal of Thoracic Surgery ◽

10.1016/s0096-5588(20)30770-4 ◽

1954 ◽

Vol 27 (3) ◽

pp. 244-250

Author(s):

J.A. Gravel

Keyword(s):

Resection And Anastomosis ◽

Bronchial Resection

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Life-Threatening Subglottic Stenosis of Granulomatosis with Polyangiitis: A Case Report

Medicina ◽

10.3390/medicina57050423 ◽

2021 ◽

Vol 57 (5) ◽

pp. 423

Author(s):

Jin An ◽

Jae-Won Song

Keyword(s):

Immunosuppressive Therapy ◽

Granulomatosis With Polyangiitis ◽

Granulomatous Inflammation ◽

Subglottic Stenosis ◽

Emergency Tracheostomy ◽

Intralesional Steroid ◽

Intralesional Steroid Injection ◽

Life Threatening ◽

Carbon Dioxide Co2 ◽

Laryngotracheal Resection

Granulomatosis with polyangiitis (GPA) is an autoimmune disease characterized by necrotizing granulomatous inflammation. Subglottic stenosis, which is defined as narrowing of the airway below the vocal cords, has a frequency of 16–23% in GPA. Herein, we present the case of a 39-year-old woman with subglottic stenosis manifesting as life-threatening GPA, which was recurrent under systemic immunosuppressive therapy. The patient underwent an emergency tracheostomy, intratracheal intervention, such as carbon dioxide (CO2) laser surgery and intralesional steroid injection via laryngomicroscopic surgery, and laryngotracheal resection with remodeling. Severe subglottic stenosis treatment requires active intratracheal intervention, surgery, and systemic immunosuppressive therapy.

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