Abstract
Intra-abdominal organs, most commonly the spleen and liver, are injured in 40-50% of polytraumatized patients. Because of its important immunological functions, preservation of the injured spleen is of paramount importance. There are both conservative and surgical approaches to preservation of the spleen in trauma cases. Of the techniques available for this purpose, tissue adhesives, coagulation, partial resection, and mesh splenorrhapy are the most suitable. Nonoperative management is a worthwhile option in hemodynamically stable patients. The decisive factor for successful conservative management is the degree of injury. We find that the manner in which heparin is administered plays an important role. Tissue adhesives are commonly used with good success with superficial lacerations. Coagulation techniques are also suitable for organ conservation with grade I and II injuries. Splenorraphy with resorbablemesh is the method of choice with the deep lacerations as it permits rapid and permanenthemostasis. If an injury only involves one pole or one half of the spleen, resection of that part of the organ is an option. Partial resection with a stapler is advisable for speed and effectiveness. Total fragmentation or separation of the ...Continue Reading
References
Apr 1, 1977·Archives of Surgery·W R Olsen, T Z Polley
Apr 1, 1992·The Journal of Trauma·R HoffmannH Tscherne
Oct 1, 1991·Radiology·S J SclafaniA O Duncan
Jun 1, 1990·The Surgical Clinics of North America·D B McConnell, D D Trunkey
Dec 1, 1989·The Journal of Trauma·E E MooreM L Ramenofsky
Jan 1, 1988·The Journal of Trauma·W L BuntainK I Maull
Nov 1, 1986·The Journal of Trauma·J B GreenP Fridlund
Feb 1, 1981·The Surgical Clinics of North America·E L Francke, H C Neu
Jan 1, 1980·The Journal of Surgical Research·D B Van WyckA C Thies
Feb 1, 1995·Current Opinion in Structural Biology·A K Aggarwal
Mar 1, 1996·Annals of Surgery·S J BondJ G Randolph
Oct 1, 1996·World Journal of Surgery·S UranüsJ Kraft-Kirz
Oct 1, 1996·American Journal of Surgery·M S LinetJ F Fraumeni
Feb 5, 1999·The Journal of Trauma·J E BaroneV Donnelly
Aug 10, 2002·The Journal of Trauma·Preston R MillerTimothy C Fabian
Aug 24, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Gamal MostafaB Todd Heniford
May 10, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Nicola BassoTullio Picconi
Jun 5, 2003·The Journal of Trauma·Ajai K MalhotraJay A Yelon
Mar 29, 2005·American Journal of Surgery·Akpofure Peter EkehEarl Haley
Aug 30, 2005·Clinical Radiology·O DoodyW C Torreggiani
Feb 1, 2007·Surgery·Brian G HarbrechtAndrew B Peitzman
Jul 12, 2007·The Journal of Trauma·Brian G HarbrechtAndrew B Peitzman
Citations
Sep 1, 2012·Techniques in Coloproctology·S Uranues
Aug 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·UNKNOWN Selman Uranues MD, FACS, Section Editor
Jul 12, 2017·Current Trauma Reports·Viktor JustinSelman Uranues