Clinical & Experimental Cardiology
Open Access

Review of sixty tracheal resections and anastomosis: A seven year experience of a tertiary Egyptian referral institute

13^th European Cardiology Conference

December 05-06, 2016 Madrid, Spain

Ahmed Mostafa

Ain Shams University, Egypt

Scientific Tracks Abstracts: J Clin Exp Cardiolog

Abstract :

Introduction: Tracheal stenosis is one of the major complications following prolonged endotracheal intubation. Tracheal resection and anastomosis has proved to be the best solution for this serious problem. This study aims to review the experience of our institute in 7 years with patients presenting with postintubational tracheal stenosis. Methods: A retrospective study was performed in the period between January 2009 and January 2016. This study involved patients who presented to Ain Shams University Hospitals with postintubational tracheal stenosis and who underwent tracheal resection and anastomosis as a primary treatment. Results: We operated upon 60 patients. We excluded glottic stenosis pathology and patients with major co-morbidities with tracheostomies or stents as definitive treatment. Patients included 42 males (70%) and 18 females (30%). Mean age was 28.35 (ranging from 2 to 72 years). At presentation, 45 patients (70%) had previous endoscopic dilations, 38 patients (63.3%) had tracheostomies, 19 patients (31.6%) had history of tracheal stenting. Seventeen patients (28.3%) had cricotracheal resections (CTR) for subglottic stenosis. Cervicotomy was sufficient in 41 patients (68.3%), additional manubriotomy was needed in 15 patients (25%), while full sternotomy was done in only 4 patients (6.6%). All patients were given a chance for immediate postoperative extubation. Anastomotic success rate was (96.6%). In hospital mortality was (1.6%). Conclusion: Tracheal resection and anastomosis proves to be a safe and satisfactory option for postintubational tracheal stenosis. This intervention must be applied widely in developmental countries where there is frequent rush for tracheostomies and abuse of tracheal stenting and dilatation. Quality of life improves dramatically following an effective surgery.

Biography :

Ahmed Mostafa completed his Thoracic Surgery MD in 2009 from Faculty of Medicine, Ain Shams University. He got his pre-MD Training in France and worked at reputed hospitals such as HEGP-Hôpital Européen Georges-Pompidou and Tenon Hospital. He acquired the MRCS and he is GMC Registered. He has special interest in Airway Surgery.

Email: ahmedmmostafa@hotmail.com