In the present paper we discuss the indication and follow-up of 42 patients with iatrogenic tracheobrochial ruptures. Thirty-five patients were treated by operation and 7 patients were treated conservatively. In the operated patients, four developed an insufficiency of the tracheal closure and the rupture related mortality was 2.8\%. A significant effect on suture dehiscence was seen for mediastinitis (P<0.005) prior to operation, prior resection of the esophagus (P<0.001), and a long delay between injury and diagnosis (P=0.004). In the conservatively treated group the rupture related mortality was 29\%. In conclusion to our results we suggest a surgical procedure whenever a tracheobronchial rupture is diagnosed and the patient's constitution allows the surgical procedure or anesthesia.
%0 Journal Article
%1 Leinung.2006
%A Leinung, Steffen
%A Möbius, Christian
%A Hofmann, Hans-Stefan
%A Ott, Rudolf
%A Rüffert, Henrik
%A Schuster, Ernst
%A Eichfeld, Uwe
%D 2006
%J Interactive cardiovascular and thoracic surgery
%K IMISE-Publikationen
%N 3
%P 303–306
%T Iatrogenic tracheobronchial ruptures - treatment and outcomes
%V 5
%X In the present paper we discuss the indication and follow-up of 42 patients with iatrogenic tracheobrochial ruptures. Thirty-five patients were treated by operation and 7 patients were treated conservatively. In the operated patients, four developed an insufficiency of the tracheal closure and the rupture related mortality was 2.8\%. A significant effect on suture dehiscence was seen for mediastinitis (P<0.005) prior to operation, prior resection of the esophagus (P<0.001), and a long delay between injury and diagnosis (P=0.004). In the conservatively treated group the rupture related mortality was 29\%. In conclusion to our results we suggest a surgical procedure whenever a tracheobronchial rupture is diagnosed and the patient's constitution allows the surgical procedure or anesthesia.
@article{Leinung.2006,
abstract = {In the present paper we discuss the indication and follow-up of 42 patients with iatrogenic tracheobrochial ruptures. Thirty-five patients were treated by operation and 7 patients were treated conservatively. In the operated patients, four developed an insufficiency of the tracheal closure and the rupture related mortality was 2.8\%. A significant effect on suture dehiscence was seen for mediastinitis (P<0.005) prior to operation, prior resection of the esophagus (P<0.001), and a long delay between injury and diagnosis (P=0.004). In the conservatively treated group the rupture related mortality was 29\%. In conclusion to our results we suggest a surgical procedure whenever a tracheobronchial rupture is diagnosed and the patient's constitution allows the surgical procedure or anesthesia.},
added-at = {2014-10-15T15:04:10.000+0200},
author = {Leinung, Steffen and Möbius, Christian and Hofmann, Hans-Stefan and Ott, Rudolf and Rüffert, Henrik and Schuster, Ernst and Eichfeld, Uwe},
biburl = {https://www.bibsonomy.org/bibtex/2db3a76183d01811500819cd08d46742c/drtester},
interhash = {80dc9698efcf43f668f0571c7a72b9f7},
intrahash = {db3a76183d01811500819cd08d46742c},
journal = {Interactive cardiovascular and thoracic surgery},
keywords = {IMISE-Publikationen},
number = 3,
pages = {303–306},
timestamp = {2014-10-15T15:04:10.000+0200},
title = {Iatrogenic tracheobronchial ruptures - treatment and outcomes},
volume = 5,
year = 2006
}