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Videolaparoscopic treatment of spleen injuries

Report of two cases

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Abstract

Splenectomy is very frequently used to manage splenic lesions. Nevertheless, spleen-injured patients who have undergone splenectomy are exposed to hyposplenism.

Authors report two patients with splenic lesions treated by conservative surgery (with fibrin glue) using the videolaparoscopic method.

In both cases the preservation of the spleen was achieved.

The conservative treatment allows one to avoid the risk of hyposplenism and the videolaparoscopy provides the possibility to treat the patient with minimal surgical stress.

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References

  1. Balz J, Minton JP (1975) Mesenteric thrombosis following splenectomy. Am Surg 181: 126

    Google Scholar 

  2. Calise F, Sicoli F, Tricarico A, Napoli V (1990) Le lesioni traumatiche di milza. In: Staudacher V, Bevilacqua G, Andreoni B (eds) Manuale di chirurgia d'urgenza e terapia intensiva chirurgica. Masson, Milan, pp 636–648

    Google Scholar 

  3. Coln D (1983) Evaluation of hemostatic agents in experimental splenic lacerations. Am J Surg 145: 256

    PubMed  Google Scholar 

  4. De Watteville JC, Testas P (1991) In: Testas P, Delaitre B (eds) Chirurgie digestive per voie coelio-scopique. Malaine, Paris, pp 170–187

    Google Scholar 

  5. Eichner ER (1979) Splenic function: normal, too much and too little. Am J Med 66: 311–318

    PubMed  Google Scholar 

  6. Fitzgerald JB, Crawford ES, De Barey ME (1960) Surgical considerations of non penetrating abdominal injuries: an analysis of 200 cases. Am Surg 100: 22

    Google Scholar 

  7. Katkhouda N, Mouiel J (1991) A new surgical technique of treatment of chronic duodenal ulcer without laparotomy by videocoelioscopy. Am J Surg 161: 361–364

    PubMed  Google Scholar 

  8. King H, Shumacker HB Jr (1952) Splenic studies. 1. Susceptibility to infection after splenectomy performed in infancy. Ann Surg 136: 239

    PubMed  Google Scholar 

  9. Kram HB (1984) Splenic salvage using biologic glue. Arch Surg 119: 1309

    PubMed  Google Scholar 

  10. Lang Nielsen J, Hanberg Sorensen F, Sarso P (1982) Implantation of autologous splenic tissue after splenectomy for trauma. Br J Surg 69: 529–530

    PubMed  Google Scholar 

  11. Mahon PA (1985) Non operative management of adult splenic injury due to blunt trauma: a warning. Am J Surg 149: 716

    PubMed  Google Scholar 

  12. Morris DH, Bullock FD (1919) The importance of the spleen in resistance to infections. Ann Surg 70: 513

    Google Scholar 

  13. Patel J, Williams JS, Shmigel B (1981) Preservation of splenic function by autotransplantation of traumatized spleen in man. Surgery 90(4): 613

    Google Scholar 

  14. Shelling G, Block T, Gokel M (1988) Application of a fibrinogen-thrombin-collagen-based hemostatic agent in experimental injuries of liver and spleen. J Trauma 28: 472

    PubMed  Google Scholar 

  15. Singer DB (1973) Postsplenectomy sepsis. In: Rosenberg HS, Bolande RP (eds.) Perspectives on pediatric pathology. Chicago: Year Book Medical Publishers. p 285

    Google Scholar 

  16. Tavassoli M, Ratzan RJ, Crosby WH (1973) Studies on regeneration of heterotopic splenic autotransplants. Blood 415: 701

    Google Scholar 

  17. Tricarico A, Sicoli F, Calise F, Napoli V, Minieri F, Apolito A, Farina R, Castello G (1987) L'autotransplantation splenique dans les traumatismes de la rate. Ann Chir 41(8): 601–616

    PubMed  Google Scholar 

  18. Tricarico A, Tartaglia A, Taddeo F, Triscino G, Sessa R, Sessa E, Giannini S, Ragucci P (1992) La colecistectomia videolaparoscopica: indicazioni, risultati, prospettive. Quad Med Chir 8(2): 148–152

    Google Scholar 

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Tricarico, A., Tartaglia, A., Taddeo, F. et al. Videolaparoscopic treatment of spleen injuries. Surg Endosc 8, 910–912 (1994). https://doi.org/10.1007/BF00843470

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  • DOI: https://doi.org/10.1007/BF00843470

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