Radiofrequency fulguration of␣the␣spleen under␣laparoscopy to␣stop iatrogenic hemorrhage

Jarry, Julien; Bodin, Rodolphe; Claverie, Damien; Évrard, Serge

doi:10.1007/s00464-011-2010-9

Cited by 7 publications

(2 citation statements)

References 7 publications

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“…57 New procedures such as polyglycolic acid elastic mesh for splenic capping, use of autologous fibrin glue and radiofrequency ablation to stop bleeding were experimented on animal models and small populations in later years ,with favourable outcomes. [61][62][63][64][65][66] Grading splenic injury…”

Section: Spleen-preserving Surgeriesmentioning

confidence: 99%

Splenic trauma in the twenty-first century: changing trends in management

Roy

Mukherjee

Parik

2018

annals

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Over the past three decades, management of blunt splenic trauma has changed radically. Use of improved diagnostic techniques and proper understanding of disease pathology has led to nonoperative management being chosen as the standard of care in patients who are haemodynamically stable. This review was undertaken to assess available literature regarding changing trends of management of blunt splenic trauma, and to identify the existing lacunae in nonoperative management. The PubMed database was searched for studies published between January 1987 and August 2017, using the keywords 'blunt splenic trauma' and 'nonoperative management'. One hundred and fifty-three articles were reviewed, of which 82 free full texts and free abstracts were used in the current review. There is clear evidence in published literature of the greater success of nonoperative over operative management in patients who are haemodynamically stable and the increasing utility of adjunctive therapies like angiography with embolisation. However, the review revealed a lack of universal guidelines for patient selection criteria and diagnostic and grading procedures needed for nonoperative management. Indications for splenic artery embolisation, the current role of splenectomy and spleen-preserving surgeries, together with the place of minimal access surgery in blunt splenic trauma remain grey areas. Moreover, parameters affecting the outcomes of nonoperative management and its failure and management need to be defined. This shows a need for future studies focused on these shortcomings with the ultimate aim being the formulation and implementation of universally accepted guidelines for safe and efficient management of blunt splenic trauma.

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Section: Spleen-preserving Surgeriesmentioning

confidence: 99%

Splenic trauma in the twenty-first century: changing trends in management

Roy

Mukherjee

Parik

2018

annals

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“…Conservative management during laparoscopy can occasionally be arduous; therefore, recent advancements in surgical hemostatic agents have provided beneficial therapeutic alternatives [ 77 ]. In addition, radiofrequency fulguration has been used to achieve hemostasis to the spleen [ 78 ]. When it is not possible to salvage the spleen, a splenectomy must be performed.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic splenic injury: review of the literature and medico-legal issues

et al. 2016

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AbstractIntroductionIatrogenic splenic injury is a recognized complication in abdominal surgery. The aim of this paper is to understand the medico-legal issues of iatrogenic splenic injuries. We performed a literature review on PubMed and Scopus using iatrogenic splenic or spleen injury and iatrogenic splenic rupture as keywords. Iatrogenic splenic injury cases were identified. Most cases were related to colonoscopy, but we also identified cases related to upper gastrointestinal procedures, colonic surgery, ERCP, left nephrectomy and/or adrenalectomy, percutaneous nephrolithotomy, vascular operations involving the abdominal aorta, gynecological operation, left lung biopsy, chest drain, very rarely spinal surgery and even cardiopulmonary resuscitation. There are several surgical procedures that can lead to a splenic injury. However, from a medico-legal point of view, it is important to assess whether the cause can be attributed to a technical error of the operator rather than being an unpredictable and unpreventable complication. It is important for the medico-legal expert to have great knowledge on iatrogenic splenic injuries because it is important to evaluate every step of the first procedure performed, how a splenic injury is produced, and whether the correct treatment for the splenic injury was administered in a judgment.

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Microwave Ablation on Spleen

Cheng

Liang

2014

Microwave Ablation Treatment of Solid Tumors

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Radiofrequency fulguration of␣the␣spleen under␣laparoscopy to␣stop iatrogenic hemorrhage

Cited by 7 publications

References 7 publications

Splenic trauma in the twenty-first century: changing trends in management

Splenic trauma in the twenty-first century: changing trends in management

Iatrogenic splenic injury: review of the literature and medico-legal issues

Microwave Ablation on Spleen

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