What is Tracheal Resection?

Tracheal resection is a surgical intervention designed to treat Tracheal Stenosis wherein the part or the entirety of the windpipe (trachea), the conduit connecting the voicebox to the lungs, is eliminated.

What is Tracheal Stenosis?

The trachea (windpipe) is a part of the airway that connects the voice box and the lungs. It is made up of “C”-shaped cartilage called tracheal rings. Tracheal stenosis is a narrowing of the trachea that impairs normal breathing.

In other words, injuries, such as those from a breathing tube during intensive care, may lead to scar tissue formation in the tracheal wall. Both benign and malignant tumours in the trachea can induce narrowing, causing severe breathing challenges, especially when coupled with a chest infection. In cases of significant narrowing, tracheal resection becomes necessary to address the obstruction.

However symptoms of this condition range from mild to severe, but it is treatable.

The Tracheal Resection technique can be executed through minimally invasive methods (small incisions of 2–3 inches under general anaesthesia) or open surgery (larger incisions of 8-10 inches under general anaesthesia). The choice between these approaches depends on the patient’s specific medical condition, determined by the treating physician.

Tracheal Resection Procedure

A tracheal resection typically lasts between 4 to 7 hours and is commonly performed in the cardiothoracic operating room (OR). It’s important to consult with your doctor for specific details regarding your procedure.

In general, during an open-surgical tracheal resection:

• You will be asked to change into a hospital gown.
• A nurse will initiate the intravenous (IV) line in your arm to administer medications and fluids throughout the procedure.
• Our surgeon will typically administer general anaesthesia to induce sedation.
• Once sedated, a breathing tube may be inserted through your throat into your lungs and connected to a ventilator to aid with breathing during surgery.
• The procedure involves removing the narrowed portion of the trachea or tumour and reconnecting the two ends of the trachea.
• Subsequently, your doctor will meticulously inspect the connection using a bronchoscope, which contains a camera.
• Following the completion of the procedure, our doctor, in coordination with the anaesthesia team, will remove the breathing tube.

Tracheal Resection and Reconstruction Surgery Recovery

Recovery after tracheal resection and reconstruction surgery typically involves several stages, each important for healing and rehabilitation:

Immediate Postoperative Period

• You’ll initially wake up in the recovery room, closely monitored by medical staff.
• Pain management will be provided as needed.
• You may have a temporary breathing tube in place until you’re able to breathe comfortably on your own.
• Vital signs and oxygen levels will be closely monitored.

Hospital Stay

• Depending on the extent of the surgery and your overall health, you may stay in the hospital for several days to a week.
• During this time, you’ll receive medications, IV fluids, and nutritional support as necessary.
• Physical therapists may assist with breathing exercises and mobilisation.

Discharge Planning

• Once medically stable, you’ll be discharged with instructions for home care.
• Follow-up appointments with the surgeon will help track your healing and address any concerns.

Home Recovery

• At home, you’ll need to continue taking prescribed medications and follow any dietary restrictions.
• Rest and skip strenuous activities until cleared by the doctor.
• Practice good wound care and monitor for signs of infection or complications.

Gradual Resumption of Activities

• Over time, you can gradually increase activity levels as tolerated, under guidance from your healthcare provider.
• Attend scheduled follow-up appointments for wound checks and assessment of healing progress.

Long-Term Follow-Up

• Do not miss your follow-up appointments. They are essential for monitoring long-term recovery and addressing any issues that may arise.
• Be sure to communicate any new symptoms or concerns with your healthcare team promptly.

Looking for a professional for Tracheal Resection Surgery? Consult the specialist in the field – Dr Taj Chowdhry

Experience the highest standard of care and expertise in Tracheal Resection Surgery with Dr Taj Chowdhry. With a commitment to excellence and a focus on patient well-being, Dr Taj ensures personalised treatment and optimal outcomes for every individual. Get in touch with him for comprehensive care and a successful recovery journey.

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Quick FAQs

• What do we know about tracheal resection scars?

Following a tracheal resection surgery, scarring is a natural part of the healing process. The scar typically forms along the incision site where the surgical procedure was performed. While the size and appearance of the scar can vary depending on factors such as the extent of the surgery and individual healing abilities, efforts are made to minimise scarring.

Surgeons employ techniques to create precise incisions and close the wound meticulously to promote optimal healing and reduce scarring. Additionally, post-operative care and scar management strategies, such as silicone gel sheets or creams, may be recommended to further improve the appearance of the scar over time. It’s essential to follow your surgeon’s guidance for proper wound care and scar management to achieve the best possible outcome.

• What about tracheal resection in adults?

Tracheal resection in adults is a surgical procedure performed to remove a portion of the windpipe (trachea) that may be diseased, narrowed, or obstructed. This procedure is typically recommended to address conditions such as tracheal stenosis (narrowing of the trachea), tracheal tumours, or trauma to the trachea.

During the surgery, the affected portion of the trachea is carefully excised, and the remaining healthy ends of the trachea are rejoined using specialised surgical techniques. Tracheal resection in adults aims to restore normal airflow through the trachea, alleviate breathing difficulties, and improve overall respiratory function. It is often performed by a team of skilled thoracic surgeons in a hospital setting under general anaesthesia. After surgery, patients undergo a period of recovery and may require post-operative care to monitor healing and ensure optimal outcomes.

• Who requires tracheal resection and reconstruction surgery?

This surgery may be recommended for individuals with conditions causing narrowing or obstruction of the trachea, including congenital abnormalities, tumours, scarring from previous surgeries or injuries, or inflammatory conditions.

• What are the risks associated with Tracheal Resection Surgery?

Risks may include bleeding, infection, damage to surrounding structures, vocal cord injury, or complications related to anaesthesia. Your surgeon will discuss potential risks and benefits before the procedure.

• What outcomes can be expected from Tracheal Resection and Reconstruction Surgery?

The surgery aims to alleviate symptoms, improve breathing, and restore normal tracheal function. However, outcomes vary, and success depends on factors such as the underlying condition, extent of surgery, and individual response to treatment.

• How can I prepare for Tracheal Resection Surgery?

Preparing for surgery may involve medical evaluations, tests, discussions with your healthcare team, and following pre-operative instructions regarding fasting, medications, and lifestyle adjustments.

• When should I seek medical attention after Tracheal Resection Surgery?

Contact your healthcare provider if you experience severe pain, difficulty breathing, excessive bleeding, signs of infection, or any concerning symptoms during the recovery process.

Having said everything, you must consult a qualified and experienced doctor like Dr Taj Chowdhry for personalised medical advice and information specific to your condition.