Bronchoscopical Repair of Tracheal Laceration Using Conventional Instrumentation: A Novel Technique

Cervical Repair of Iatrogenic Tracheobronchial Injury by Tracheal T-Incision

“…13 In our cohort, 30-day survival was 61.5% for patients receiving cervicotomy compared with 52.6% in the tho- Various endoscopic repair techniques for tracheobronchial injury have been described. 5,7 Although the surgical trauma is even less using these endoscopic techniques, the first major limitation is the need for jet ventilation as the patient must be stable enough to tolerate jet ventilation during the procedure. Second, we consider these techniques as technically challenging and therefore might be adoptable only by experienced endoscopists.…”

“…3,4 Despite some reports on endoscopic techniques, the open-surgical repair of tracheobronchial injuries remains the standard treatment. [5][6][7] Traditionally, tracheobronchial injuries in the upper and middle third of the trachea are approached through a cervical incision, whereas the lower third and the main bronchi are usually approached by a right-sided posterolateral thoracotomy. [8][9][10][11][12] It remains unclear whether the less invasive cervical access could as well be used to approach distal lesions and whether it is superior to thoracotomy.…”

Diagnostic and therapeutic approach to post-traumatic tracheobronchial injuries

“…Recently, endoscopic repair of longitudinal lesions of the membranous part of the trachea under rigid bronchoscopy has been reported. Welter et al used a dedicated endoscopic needle holder to repair the tracheal lesion with a continuous absorbable suture, while Krassas et al used a conventional endoscopic needle holder [59,60]. Although the reduced invasiveness of this approach may be an advantage especially in frail patients, it may have significant limitations.…”