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Comparison of Elective Minimally Invasive with Conventional Surgical Tracheostomy in Adults

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Minimally invasive techniques were used for tracheostomy including small horizontal skin incision, limited soft tissue dissection and no suturing. A Retrospective analysis of case sheets of patients who underwent elective tracheostomy by the first and second authors at M S Ramaiah Hospitals in Bangalore between 1st May 2010 and 1st May 2015 was done to compare the result of elective conventional open surgical tracheostomy using midline vertical skin incision with minimally invasive tracheostomy using a short horizontal incision. No statistically significant difference in the peri and post operative complication rate was found. The patterns of intra and post operative complications reflected the choice of the surgical technique—the conventional technique had problems associated with wide dissection, whereas the minimally invasive technique had problems associated with limited exposure. Problems of wound gaping, emphysema and peristomal inflammation were reduced with minimally invasive technique with short horizontal skin incision although statistical difference could not be shown. There was also no statistically significant difference with either technique regards death and decannulation rates. Minimally invasive technique of elective open surgical tracheostomy was found to be as safe as conventional open surgical tracheostomy with midline vertical skin incision in the studied groups.

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References

  1. Dash AK, Meher D, Patro S et al (2014) Benign thyroid lesions: small incision hemithyroidectomy is a cosmetic alternative. Natl J Otorhinolaryngol Head Neck Surg 2(11):21–22

    Google Scholar 

  2. Henry J (2008) Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision. Langenbecks Arch Surg 393:621–626. doi:10.1007/s00423-008-0406-3

    Article  PubMed  Google Scholar 

  3. Terris DJ, Seybt MW (2008) Classification system for minimally invasive thyroid surgery. ORL 70:287–291. doi:10.1159/000149830

    Article  PubMed  Google Scholar 

  4. Consorti F, Milazzo F, Notarangelo M et al (2012) Factors influencing the length of the incision and the operating time for total thyroidectomy. BMC Surg 12:15. doi:10.1186/1471-2482-12-15

    Article  PubMed  PubMed Central  Google Scholar 

  5. Cheng K-H, Chen C-H, Ho C et al (2015) A fast method of surgical tracheostomy: a preliminary result of minimally invasive tracheostomy. Arch Clin Exp Surg 4:36–40

    Article  Google Scholar 

  6. Goldman RK (2000) Minimally invasive surgery. Bedside tracheostomy and gastrostomy. Crit Care Clin 16:113–130

    Article  CAS  PubMed  Google Scholar 

  7. Putensen C, Theuerkauf N, Guenther U et al (2014) Percutaneous and surgical tracheostomy in critically ill adult patients: a meta-analysis. Crit Care 18:544. doi:10.1186/s13054-014-0544-7

    Article  PubMed  PubMed Central  Google Scholar 

  8. Delaney A, Bagshaw SM, Nalos M (2006) Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: a systematic review and meta-analysis. Crit Care 10:R55

    Article  PubMed  PubMed Central  Google Scholar 

  9. Ravi Kumar A, Mohanty KS, Senthil MG (2005) Comparative study of percutaneous dilatational tracheostomy and conventional tracheostomy in the intensive care unit. Indian J Otolaryngol Head Neck Surg 57:202–206

    PubMed  Google Scholar 

  10. El Solh AA, Jaafar W (2007) A comparative study of the complications of surgical tracheostomy in morbidly obese critically ill patients. Crit Care 11:R3

    Article  PubMed  PubMed Central  Google Scholar 

  11. Marullo L, Izzo G, Orsini A et al (2013) Clinical features as discriminating factors in the choice of tracheostomy techniques. BMC Surg 13:A28

    Article  PubMed Central  Google Scholar 

  12. Pelosi P, Severgnini P (2004) Tracheostomy must be individualized! Crit Care Lond 8:322–324

    Article  Google Scholar 

  13. Pracy P (2008) Tracheostomy. In: Browning GG, Gleeson M, Burton MJ (eds) Scott brown’s otorhinolaryngology, Head and neck surgery, 7th Edn. Hodder Arnold, UK, pp 2295–2298

  14. Bovie MJ, Afifi MS (2010) Tracheostomy procedure. In: CCNS DLM PhD, APN, FCCP DMSA MD, FCCM (eds) Tracheostomies: the complete guide, 1st edn. Springer Publishing Company, Berlin, pp 25–37

  15. Dulguerov P, Gysin C, Perneger TV, Chevrolet J-C (1999) Percutaneous or surgical tracheostomy: a meta-analysis. Crit Care Med 27(8):1617–1625

    Article  CAS  PubMed  Google Scholar 

  16. Dulguerov P, Gysin C (2000) Is surgical tracheostomy really superior to percutaneous tracheostomy? Crit Care Med 28:3370–3371

    Article  Google Scholar 

  17. Gilyoma JM, Balumuka DD, Chalya PL (2011) Ten-year experiences with tracheostomy at a University teaching hospital in Northwestern Tanzania: a retrospective review of 214 cases. World J Emerg Surg 6:38

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of ENT, M S Ramaiah Medical College, MSR Nagar, MSRIT Post, Bangalore, 560054, India

    Rajiv Ranganath Sanji, Chandrakiran Channegowda & Sanjay B. Patil

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  1. Rajiv Ranganath Sanji
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  2. Chandrakiran Channegowda
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  3. Sanjay B. Patil
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Correspondence to Rajiv Ranganath Sanji.

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Rajiv Ranganath Sanji, Chandrakiran Channegowda and Sanjay B. Patil authors declare that they have no conflicts of interest.

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This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Sanji, R.R., Channegowda, C. & Patil, S.B. Comparison of Elective Minimally Invasive with Conventional Surgical Tracheostomy in Adults. Indian J Otolaryngol Head Neck Surg 69, 11–15 (2017). https://doi.org/10.1007/s12070-016-0983-3

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  • DOI: https://doi.org/10.1007/s12070-016-0983-3

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