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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

1.7K
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
1.7K
Trachea01:22

Trachea

3.1K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
3.1K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

515
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
515
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

643
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
643
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

847
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...
847
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

3.1K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
3.1K

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Related Experiment Video

Updated: Nov 2, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

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Radical vaginal trachelectomy.

Thomas Ind1

  • 1Royal Marsden Hospital, London, SW3 6JA, UK; St George's University of London, Cranmer Terrace, Tooting, London SW17 0RE, UK.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|June 8, 2021
PubMed
Summary

Radical vaginal trachelectomy (RVT) is a well-established fertility-sparing surgery for early cervical cancer. While data exists, comparative survival studies with radical hysterectomy and other surgical approaches are lacking.

Keywords:
Cervical cancerCervical cerclageComplicationsPremature labourTrachelectomy

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Area of Science:

  • Gynecologic Oncology
  • Surgical Oncology
  • Reproductive Medicine

Background:

  • Radical vaginal trachelectomy (RVT) is the longest-standing fertility-sparing surgical option for stage 1b cervical cancer.
  • Extensive data supports RVT, more so than other radical trachelectomy techniques.
  • Comparative survival data between RVT and radical hysterectomy is limited.
  • Randomized controlled trials comparing vaginal approaches to open, laparoscopic, and robotic methods are absent.

Purpose of the Study:

  • To detail the case selection criteria for RVT.
  • To describe the surgical procedure of RVT.
  • To present the outcomes associated with RVT.

Main Methods:

  • Review of existing literature on Radical Vaginal Trachelectomy.
  • Description of surgical technique and patient selection.
  • Analysis of reported outcomes in published studies.

Main Results:

  • RVT is the most studied fertility-sparing procedure for early cervical cancer.
  • Lack of direct comparative studies with radical hysterectomy and minimally invasive techniques.
  • The article provides a comprehensive overview of RVT's application and results.

Conclusions:

  • RVT remains a primary fertility-sparing option for selected patients with stage 1b cervical cancer.
  • Further research, including randomized controlled trials, is needed to compare RVT outcomes with radical hysterectomy and other surgical modalities.
  • This review consolidates current knowledge on RVT case selection, procedure, and outcomes.