A video-assisted endotracheal suture technique for correction of distal tracheal laceration after intubation.
The incidence of tracheal laceration is 1 of 20,000 intubations. The most frequently affected area is the posterior tracheal wall (membranous). Risk factors include several forced attempts at intubation, inexperience of the clinician, tracheal introducers (guidewires) that protrude beyond the tip of the tube, and emergency procedures. Surgical treatment of tracheal lacerations can be by a transtracheal suture technique or a right thoracotomy. Using the concept of minimally invasive surgical procedures, we reported the treatment of 2 patients with tracheal lacerations greater than 5 cm in the distal trachea that were treated with endotracheal video-assisted suturing using a cervical incision.
Department of Thoracic Surgery, Federal University of Sao Paulo, Sao Paulo, Brazil. thoracicsurgery@uol.com.br
Altair
A
da Silva Costa
Joao Aléssio
JA
Juliano Perfeito
José Ernesto
JE
Succi
Luiz Eduardo
LE
Villaça Leão
Erika
E
Rymkiewicz
Caio Augusto Sterse
CA
da Matta
Marcel Martins
MM
Sandrini
D001999:Bronchoscopy; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D022125:Lacerations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011859:Radiography; D012131:Respiratory Insufficiency / Q000628:therapy; D013536:Suture Techniques; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014132:Trachea / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery