| 摘要 |
FIELD: medicine.SUBSTANCE: invention refers to medicine, specifically to surgery. Forming a laryngotracheostoma is followed by tracheal endoprosthesis replacement with a T-tube, excising a stenotic portion of the thoracic trachea, forming an intratracheal anastomosis, performing anaplerosis in a front wall of the larynx and/or trachea after a lumen has been formed, and the intratracheal anastomosis has been healed. If the stenosis persists, the T-tube is removed, the cervical and thoracic trachea is approached; cutaneous-subcutaneous flaps are mobilised within the preserved trachea; that is followed by a sleeve resection of the stenotic portion of the trachea; a partial intratracheal anastomosis is formed along posterior and lateral walls of the trachea, while the mobilised cutaneous-subcutaneous flaps is fixed to a free anterior wall of the resected trachea thereby repairing the tracheostoma/laryngostoma; and the T-tube is placed into the tracheal lumen through the formed tracheostoma.EFFECT: method enables preventing the anastomotic leak by reducing a suture tension and the absence of suppurative inflammation within the intratracheal anastomosis in the presence of tracheal sanation by daily change and antiseptic preparation of the tracheostomy T-tube.2 dwg, 1 ex |
