title: Novel technique for relieving anastomotic tension using halo-vest immobilization after tracheal sleeve resection.
abstract: We describe a novel technique of using halo-vest-enforced immobilization to relieve anastomotic tension after tracheal sleeve resection. Immediately after the tracheal sleeve resection, four halo titanium pins were inserted in the skulls of the patients to secure the halo-vest. All patients fitted with halo-vests were able to eat and drink and their clinical course was good. Bronchoscopy confirmed the absence of anastomotic leaks and stenoses, and there were no complications associated with the halo-vest. We believe that ensuring neck flexion using a halo-vest after tracheal sleeve resection is an excellent way of relieving anastomotic tension that would predispose the wound to dehiscence.
authors: Department of Chest, Breast and Endocrinologic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita City, 010-8543, Japan. i-karo@mui.biglobe.ne.jp
authors: Kazuhiro
authors: K
authors: Imai
authors: Yoshihiro
authors: Y
authors: Minamiya
authors: Hajime
authors: H
authors: Saito
authors: Naohisa
authors: N
authors: Miyakoshi
authors: Michio
authors: M
authors: Hongo
authors: Yuji
authors: Y
authors: Kasukawa
authors: Yoshinori
authors: Y
authors: Ishikawa
authors: Satoru
authors: S
authors: Motoyama
authors: Yusuke
authors: Y
authors: Sato
authors: Yoichi
authors: Y
authors: Shimada
authors: Jun-ichi
authors: J
authors: Ogawa
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck; D009984:Orthopedic Fixation Devices; D011182:Postoperative Care / Q000295:instrumentation / Q000379:methods*; D011187:Posture; D012149:Restraint, Physical / Q000295:instrumentation / Q000379:methods*; D013529:Surgical Wound Dehiscence / Q000517:prevention & control; D013718:Tensile Strength; D019616:Thoracic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D014132:Trachea / Q000601:surgery*; D055815:Young Adult