A novel technique for relieving anastomotic tension using halo-vest immobilization after tracheal sleeve resection |
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Authors: | Kazuhiro Imai Yoshihiro Minamiya Hajime Saito Naohisa Miyakoshi Michio Hongo Yuji Kasukawa Yoshinori Ishikawa Satoru Motoyama Yusuke Sato Yoichi Shimada Jun-ichi Ogawa |
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Affiliation: | 1. Department of Chest, Breast and Endocrinologic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita City, 010-8543, Japan 2. Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita City, 010-8543, Japan
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Abstract: | We describe a novel technique of using halo-vest-enforced immobilization to relieve anastomotic tension after tracheal sleeve resection. Immediately after the tracheal sleeve resection, four halo titanium pins were inserted in the skulls of the patients to secure the halo-vest. All patients fitted with halo-vests were able to eat and drink and their clinical course was good. Bronchoscopy confirmed the absence of anastomotic leaks and stenoses, and there were no complications associated with the halo-vest. We believe that ensuring neck flexion using a halo-vest after tracheal sleeve resection is an excellent way of relieving anastomotic tension that would predispose the wound to dehiscence. |
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