How to Avoid Splenectomy in a Child With Splenic Trauma

Шапкина, А. Н.; Козлова, М. Н.; Shmyreva, E.S.; Шуматов, В. Б.

doi:10.17238/pmj1609-1175.2018.1.72-74

Cited by 4 publications

(1 citation statement)

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“…При этом важно удалить селезенку из брюшной полости без нарушения ее целостности, так как при попадании даже незначительного ее фрагмента, последняя очень хорошо приживается в любом участке брюшной полости с последующим рецидивом клиники гемолитической анемии. На этом свойстве селезенки основан метод свободной реплантации ее участка после спленэктомии вследствие травмы [4][5][6]. В ряде случаев, при аутоиммунной гемолитической анемии во время лапароскопической спленэктомии размеры мобилизованной селезенки перед ее уда-лением из брюшной полости превышают размеры имеющегося в распоряжении хирурга эндоскопического контейнера.…”

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Method of spleen reduction in laparoscopic splenectomy in children with hereditary autoimmune hemolytic anemia

Гаврилович

Kagantsov²,

Маркович³

et al. 2020

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Purpose. This study aimed to improve the results of surgical treatment of children with hereditary autoimmune hemolytic anemia by laparoscopic splenectomy. Materials and methods. In the period from 1991 to 2020, a total 47 patients with hereditary autoimmune hemolytic anemia were treated in the surgical department of the Republican Childrens Clinical Hospital of Syktyvkar. Splenectomy was performed by the open method in 25 children, and laparoscopic method in 22 patients. Since 2019, the method of spleen reduction during laparoscopic splenectomy has been used in 3 patients when the large size of the mobilized spleen does not correspond to the size of the endoscopic container. Results. On average, surgical intervention using the above-described method of spleen reduction lasted for 19 2 min lesser than with laparoscopic splenectomy without the above method, due to the possibility of removing a significantly smaller volume of spleen tissue from the endoscopic sac outside the abdominal cavity. However, the most important achievement was the almost complete elimination of the risk of getting free fragments of a pathologically altered spleen with its possible replantation and recurrence of the clinic of autoimmune hemolytic anemia. The postoperative period was smooth, and all patients were discharged at their place of residence 7 days after the laparoscopic splenectomy. Intra-abdominal complications and relapses of the disease associated with the above-described method of operation did not occur in any patient within 612 months postoperative. Conclusion. The proposed method of spleen reduction during laparoscopic splenectomy made it possible to avoid relapses of the disease, reduce the operation time, as a result, improved the results of surgical treatment in children with hereditary autoimmune hemolytic anemia.

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Section: Introductionunclassified

Method of spleen reduction in laparoscopic splenectomy in children with hereditary autoimmune hemolytic anemia

Гаврилович

Kagantsov²,

Маркович³

et al. 2020

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Combined Blunt Splenic Injury in Adults: Modern Approach to Diagnosis and Treatment

Александров

Maskin

Матюхин

2021

Neotložnaâ med. pomoŝʹ

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Background. The high frequency of injuries of the spleen, as well as its important immunocompetent role in the body, dictate the need to develop a standardized approach to the diagnosis and treatment of this category of patients.Aim. Standardization of the treatment and diagnostic approach for combined blunt splenic injury to improve treatment results.Material and methods. The analysis of literary sources of Russian and foreign authors on this issue.Results. The therapeutic and diagnostic algorithm was developed for combined blunt splenic injury based on the severity of the patient, and a detailed description of non-operative and damage control surgical treatment was given.Conclusion. The use of endovascular interventions in the treatment of splenic injuries, as well as their gradual treatment in conditions of severe polytrauma, helps to reduce mortality.

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Non-Operative Management of Blunt Abdominal and Retroperitoneal Solid Organs Trauma, with Retroperitoneal Hemorrhage – Indications, Methodology and Necessity

Александров

Maskin

Yermolayeva

et al. 2021

Neotložnaâ med. pomoŝʹ

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Introduction. The article is devoted to an actual problem — blunt trauma of the abdomen and organs of the retroperitoneal space.Aim of study. Specify the indications for nonoperative management of patients with blunt trauma of the solid organs of the abdominal cavity, retroperitoneal space, with retroperitoneal hemorrhage and measures for this treatment option.Material and methods. The analysis of literature sources of Russian and foreign authors is carried out and the indications, methods and necessity of nonoperative management of patients with blunt trauma of solid organs of the abdominal cavity and retroperitoneal space, retroperitoneal hemorrhages are substantiated.Conclusion. Nonoperative management of patients with blunt trauma of solid organs of the abdominal cavity and retroperitoneal space, retroperitoneal hemorrhages is possible only in large specialized centers with a wide range of diagnostic and therapeutic capabilities.

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How to Avoid Splenectomy in a Child With Splenic Trauma

Cited by 4 publications

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Method of spleen reduction in laparoscopic splenectomy in children with hereditary autoimmune hemolytic anemia

Method of spleen reduction in laparoscopic splenectomy in children with hereditary autoimmune hemolytic anemia

Combined Blunt Splenic Injury in Adults: Modern Approach to Diagnosis and Treatment

Non-Operative Management of Blunt Abdominal and Retroperitoneal Solid Organs Trauma, with Retroperitoneal Hemorrhage – Indications, Methodology and Necessity

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