Abstract

GARCIA ALVERO, Ángel Pastor et al. Surgical treatment of lower tracheal stenosis: presentation of two cases. AMC [online]. 2013, vol.17, n.2, pp. 236-243. ISSN 1025-0255.

Background: secondary tracheal stenosis lesions caused by intubation are common complications. In Cuba, the first resection made because of ischemic stenosis of this organ was made in 1974. Objective: to describe the complex surgical procedures carried out in two patients with this affection and their results. Clinical cases: two female patients were presented with severe tracheal stenoses that were under surgical treatment at the Military University Hospital Dr. Octavio de la Concepción y de la Pedraja, of Camagüey from December 2009 to April 2011. The cause of prolonged ventilation in one of the cases was a status asthmaticus and in the other patient an emergency abdominal surgery because of a perforated peritoneal syndrome with postoperative complications. Conclusions: circumferential tracheal resection was the technique carried out in both cases. The application of this technique showed satisfactory results in both cases without any mortality attributed to the intervention. The culture and antibiogram of endotracheal secretions in the preoperative were considered to be important.

Keywords : TRACHEAL STENOSIS [surgery]; RESPIRATION, ARTIFICIAL; INTUBATION, INTRATRACHEAL; SURGICAL PROCEDURES, OPERATIVE; CASE STUDIES.

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