[Splenic capping in the treatment of severe spleen injuries].

Abstract

INTRODUCTION:

Permanent and lifelong threat of developing fatal sepsis and other severe infections in splenectomized patients is an important reason for promoting splenic preservation.

MATERIAL AND METHODS:

Experimental preservation of severe spleen injuries (grade IV), with splenic-capping, was performed in 30 dogs, operated using Ketalar anesthesia. Spleen preservation and concomitant treatment of excessive hemorrhage were achieved by highly controlled "conic" compression of injuried spleen parenchyma, additional hemostatic Z-sutures and fibrin tissue adhesion.

RESULTS:

Satisfactory hemostasis and complete preservation of the spleen parenchyma damage were achieved in 20% by splenic capping splenorraphy, alone. Additional placement of hemostatic sutures was necessary in 30%, and concomitant application of serum thymic factor (STF) FTA (along with sutures) in 50% of patients. The above mentioned techniques were very effective in achieving hemostasis (100%), with no mortality and low rate of postoperative complications--6.7% (1 intrasplenic abscess and 1 adhesive ileus).

CONCLUSION:

Excellent results and efficacy, splenic capping-splenorraphy is the method of choice in the treatment of severe and multiple transcapsular spleen injuries with involvement of segmental vessels.

• Authors: Milan Jovanović, Goran Stanojević, Jovica Jovanović, Miroslav Stojanović
• Journal: Medicinski pregled (Med Pregl) 2005 Jul-Aug Vol. 58 Issue 7-8 Pg. 388-92 ISSN: 0025-8105 [Print] Serbia
• PMID: 16296583 (Publication Type: English Abstract, Journal Article)

Topics

• Animals
• Dogs
• Spleen (injuries)
• Surgical Mesh