A video-assisted endotracheal suture technique for correction of distal tracheal laceration after intubation.

da Silva Costa, Altair; Juliano Perfeito, Joao Aléssio; Succi, José Ernesto; Villaça Leão, Luiz Eduardo; Rymkiewicz, Erika; da Matta, Caio Augusto Sterse; Sandrini, Marcel Martins · Ann Thorac Surg · 2012

case_report · Level V

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Abstract

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.

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