Secure Closure of the Tracheal Incision After Natural Orifice Transluminal Endoscopic Surgery With a Surgical Sealant (CoSeal)
Chang Gung University, Taoyuan, Taiwan, ROC. Surgical Innovation
(Impact Factor: 1.46).
04/2011; 18(3):NP7-8. DOI: 10.1177/1553350611403769
To evaluate the effectiveness of surgical sealant (CoSeal) in sealing the tracheal assess sites after transtracheal thoracoscopy.
Two dogs underwent transtracheal thoracic exploration and pericardial window creation. The thoracic cavity was approached with flexible bronchoscope through a 9-mm tracheal incision. The pericardial window was performed with a needle knife via the working channel of the bronchoscope, and the tracheal assess site was closed with CoSeal using a rubber catheter. The integrity of tracheal healing was evaluated under positive pressure ventilation.
Transtracheal creation of pericardial window and closure of tracheal incision with CoSeal was successfully performed in both dogs. There was no evidence of air leaks from the chest tube during positive pressure ventilation. Autopsy revealed no injury to the mediastinum and intrathoracic structure.
Endoscopic closure of tracheal access site of NOTES with CoSeal appears to be a feasible technique.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.