Splenic preservation: an additional haemostatic measure during mesh splenorrhaphy

ANZ Journal of Surgery
Chaitan G ReddyNimalan Pathma-Nathan

Abstract

Various treatment measures have been described in achieving splenic preservation following splenic injury. We describe an additional measure in achieving haemostasis during mesh splenorrhaphy. Oxycel (BD, Franklin Lakes, NJ, USA) (topical haemostatic agent composed of oxidized cellulose) is sutured onto the inside of Dexon (Sherwood, Davis & Geck, St Louis, MO, USA) (polyglycolic acid) mesh. Two patients with splenic lacerations were operated on from July 2002 to February 2003 using this technique and both patients did not experience postoperative abdominal complications and were clinically well at follow up 1-2 months later. In our experience this technique made the Dexon mesh bulkier and easier to secure as well as more haemostatic.

References

Apr 1, 1992·The British Journal of Surgery·A FingerhutS Rea
Jun 1, 1990·The Surgical Clinics of North America·S R Shackford, M Molin
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Citations

Jul 3, 2004·ANZ Journal of Surgery·Robert Finch, Simon W Banting
Sep 20, 2011·Surgical Innovation·Isidoro Di CarloAdriana Toro

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