Conduct against circumferential resections of the cervical trachea: experimental study
Conducta frente a las resecciones circunferenciales de la tráquea cervical: estudio experimental
Resumen:
Several reconstruction procedures after tubular resections of the trachea at cervical level are reviewed. Experimental reconstruction by anastomosis of tlie remaining ends, with intercartilaginous sutures in short and long resections and the reconstruction by grafts (hono or self) in short tubular resections are evaluated. After short resections the results withanastomosis are good, and bad after long resections. The value of the suture tension, mobilization of the remaining ends and the points used are evaluated. Considerations about the causes of the constant bad results with grafts are made.
Se mencionan los diversos procedimientos de r-econstrucción traqueal luego de resecciones tubulares a nivel cervical. Se evalúan experimentalmente la reconstrucciónpor anastomosis de los cabos remanentes con suturas intercartiloginosas en resecciones cortas y extensas, y la reconstrucción por implantes ( hono y autoimplantes)en resecciones tubulares cortas. Se obtienen buenos resultados con la anastomosis luego de resecciones cortas y malos luego de las extensas, discutiéndoseen éstas el valor de la tensión de sutura, el de la movilización de los cabos remanentes y el de los puntos empleados. Se hacen c<;msideraciones sobre las causasde los constantes malos resultados con los implantes.
2020 | |
cirugía tráquea reconstrucción surgery trachea reconstruction |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/1968 | |
Acceso abierto |
Sumario: | Several reconstruction procedures after tubular resections of the trachea at cervical level are reviewed. Experimental reconstruction by anastomosis of tlie remaining ends, with intercartilaginous sutures in short and long resections and the reconstruction by grafts (hono or self) in short tubular resections are evaluated. After short resections the results withanastomosis are good, and bad after long resections. The value of the suture tension, mobilization of the remaining ends and the points used are evaluated. Considerations about the causes of the constant bad results with grafts are made. |
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