Protective procedures followign splenic rupture
- 42 Downloads
The aim of the present study was to improve spleen-preserving procedures in patients undergoing laparotomy following abdominal trauma. Of a total 288 patients who underwent laparotomy for abdominal trauma in the Fourth General Surgical Department of Hardarpaş a Teaching Hospital between 1989 and 1996, 94 patients with splenic injuries were retrospectively analyzed. The mean age of these 94 patients, 69% whom were male, was 28.9±3.5 years. Traffic accidents were found to be the major cause of splenic injuries (71.3%) and diagnostic peritoneal lavage was frequently used as a diagnostic tool (58.8%).Grades IV andV splenic injuries were seen in 71 patients (75.4%), all of whom required splenectomy. Omentoplasty with partial splenectomy or omentoplasty with splenorrhaphy successfully controlled hemorrhage from the spleen in 22 patients (23.4%). The complication rate was calculated at 18.06% in this study, but no deaths occurred as a direct result of splenic injury. In conclusion, omentoplasty, partial splenectomy, and splenorrhaphy are safe and successful methods of controlling bleeding from a damaged spleen of grade III in patients without multiple injuries.
Key Wordspartial splenectomy splenorrhaphy omentoplasty
Unable to display preview. Download preview PDF.
- 10.Topaloĝlu Ü, Odabaşi M, Yilmazcan A, Ünalmişer S (1995) Laparotomy for abdominal trauma. Turkish J Trauma 1:151–154Google Scholar
- 11.Hill AC, Shecter WP, Trunkey DD (1988) Abdominal trauma and infections for laparotomy. In: Mattox KL, Moore EE, Feliciano DV (eds) Trauma. Appleton and Lange, Norwalk, p 401Google Scholar
- 15.Anastasios P, Aidonopoulos A, Spiros T, Papavramidis GD, George DG, George GF, Nikolas PD, Ioannin MV (1995) Splenorrhaphy for splenic damage in patients with multiple injuries. Eur J Surg 161:247–251Google Scholar
- 16.Wisher DH, Blaisdel FW (1992) When to save the ruptured spleen. Surgery 111:121–122Google Scholar
- 19.Feliciano DV (1990) Splenorrhaphy. Ann Surg 116:651–656Google Scholar