The suction-assisted endoscopic suture technique: A simple method for endotracheal suturing.
Steven J Charous1, Edward Westfall1
1Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, Illinois, U.S.A.
The Laryngoscope
|August 3, 2019
Summary
A new, low-cost technique effectively secures silicone stents, preventing migration in subglottic stenosis patients. This simple method uses a braided suture and needle, enhancing treatment outcomes.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Biomaterials
Background:
- Subglottic stenosis is commonly treated with silicone stents.
- Stent migration is a frequent complication, limiting treatment efficacy.
- Existing methods to secure stents lack widespread adoption.
Purpose of the Study:
- To introduce a novel, cost-effective surgical technique for securing silicone stents.
- To prevent stent migration in patients with subglottic or tracheal stenosis.
Main Methods:
- A novel technique involves passing a braided suture through the stent using an 18-G needle.
- A suction-assisted device, created with a syringe and suction tool, aids in retrieving the suture.
- This facilitates secure external knotting to prevent stent displacement.
Main Results:
- The technique was successfully applied in seven instances across four patients.
- No stent migration occurred in any of the treated cases.
- Laboratory testing indicated optimal performance with an 18-G needle and 3-0 braided suture.
Conclusions:
- A novel, simple, and low-cost surgical technique effectively secures silicone stents.
- This method shows promise in preventing stent migration for subglottic and tracheal stenosis management.
Related Concept Videos
01:22Sutures of the Skull
10.2K
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
10.2K
01:24Simple Staining Technique
3.3K
OverviewStaining techniques in microscopy enhance the visualization of microorganisms by increasing contrast and allowing the differentiation of cellular structures. Simple staining is one of the fundamental methods used to observe the basic morphological characteristics of microorganisms, including their size, shape, and arrangement. This method relies on the application of a single dye to stain the entire cell, producing a clear contrast between the cell and the background.FixationFixation is...
3.3K
01:23Tracheostomy Suctioning II: Procedure
1.6K
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
1.6K
01:25Suctioning the Oropharyngeal Airway
845
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
845
01:29Suctioning the Nasopharyngeal Airway
3.1K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
3.1K
01:17Endotracheal Intubation II: Nursing Management
2.5K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.5K