Resections and reconstruction of the trachea

Abstract

Tracheal surgery offers every day better theraeuic
psibilities. A well trained surgical team is
ny to perform it. In order to assure.a correct
venlaion during the operation is important the
obion between nesthesist and surgeon. A
s sil plai must be stablished taking in to
nt he coect opportunity, a precise approach
do como ma redonda l XXXI Congreso Uruguayo
de . Monedeo, Noiembre de 1980.
rof. o nno e Aatomía, Fac. Med. Montevideo.
Cno de Tórx del M.S.P.
Prof. Aregado de Aniolo&ía, Fac. Med. Monteideo.
Cijanos de tóx, Hosp. Sint Bois, M.S.P. Montevideo.
Prof. de Clruda de Tóx Y Cariovculr.
Centro Hosplier Univerllre, Tolose, Frnca.•
Dirección: Luis P. Ponce 1324/601, Montevideo (Dr. J.
Nin Vivo).
and a sufficient exposition, without any compromise
of tracheal irrigation. The limits of tracheal
esection are done by the necessity of avoiding
any tension at the suture leve!. When the extension
of the tracheal resection does not allow to perform
a primary suture, to avoid tension, it may be necee-·
sary to perform maneuvers that allow the drop of
the larynx or techniques of mobilization and bronchial
reconstruction. We believe that for more extended
resections, have to be considered the ue of
Silastic prosthesis. For non-resectable tumors, we
have employed the Montgomery tracheal "T" tube,
_ with_god _resuls and excellent tolerance.