Open partial splenectomy for trauma using GIA-Stapler and FloSeal matrix haemostatic agent.

Abstract

A ruptured spleen caused by blunt abdominal injury is often treated by splenectomy. In view of the gravity of the 'postsplenectomy syndrome,' a conservative approach has been increasingly used. We present the case of a 29-year-old man with a Grade III splenic lesion for a blunt abdominal trauma after a car accident. We performed a partial splenectomy of the upper pole using GIA-Stapler. A supplemental haemostasis of the stapled line was successfully achieved by the application of FloSeal matrix haemostatic agent. The splenic remnant was fixed into the left-upper quadrant using human fibrin glue.

• Authors: Daniela Costamagna, Sabrina Rizzi, Annunziatino Zampogna, Amedeo Alonzo
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2010 (Aug 09 2010) ISSN: 1757-790X [Electronic] England
• PMID: 22767672 (Publication Type: Case Reports, Journal Article)

Chemical References

• FloSeal Matrix
• Hemostatics

Topics

• Abdominal Injuries (complications, diagnosis, surgery)
• Adult
• Blood Loss, Surgical (prevention & control)
• Follow-Up Studies
• Gelatin Sponge, Absorbable
• Hemostatics (therapeutic use)
• Humans
• Injury Severity Score
• Laparotomy (methods)
• Male
• Splenectomy (methods)
• Splenic Rupture (diagnostic imaging, etiology, surgery)
• Surgical Staplers
• Suture Techniques
• Tomography, X-Ray Computed (methods)
• Treatment Outcome
• Wound Healing (physiology)
• Wounds, Nonpenetrating (complications, diagnosis, surgery)