Abstract :
Background: Prolonged intubations result in tracheal damage and stenosis, the treatment for severe cases is resection and anastomosis. With the progress of the Covid-19 pandemic, this incidence kept rising but the timing and precautions for such aerosolising surgeries remained unclear.
Aim: To report the first case of tracheal resection and anastomosis in India done during the Covid-19 pandemic along with its rationale.
Materials and Methods: We report a case of 30/male with prolonged intubation and tracheostomy done for Covid-19 pneumonia and ARDS with failure to decannulate and complete loss of voice. After thorough preoperative work-up, he underwent tracheal resection of 4 rings with cricotracheal anastomosis during the covid-19 pandemic in October 2020.
Results: He was extubated on table and was asymptomatic after 3 months of follow-up with excellent voice.
Conclusion: With good team effort and appropriate precautions, aerosolising airway surgeries resection anastomosis can be safely performed.
Keyword :
Covid-19, Tracheal stenosis, Tracheal resection, Anastomosis, Airway surgery