Spleen-preserving surgery after blunt abdominal trauma with splenic hilum involvement

Navas-Cuéllar, José Aurelio; Cañete-Gómez, Jesús; López-Bernal, Francisco; Garcia-Rivera, C; Pareja-Ciuró, Felipe; Padillo-Ruíz, Javier

doi:10.1016/j.circen.2015.11.013

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Nowadays, there is an increasing tendency to preserve splenic tissue (10). Autotransplantation of splenic fragments were initially performed on experimental animal models, such as different species of rats, dogs, pigs and rabbits, and the results have been very promising.…”

Section: Discussionmentioning

confidence: 99%

Auto-Transplantation of Splenic Fragments After Total Splenectomy in Patients with Severe Splenic Trauma Lesions: A Clinical Study

Khorshidi¹,

Kasraianfard²,

Ghaderzadeh³

et al. 2017

Trauma Mon

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Background: The known early and late complications following splenectomy increase the tendency to preserve splenic tissue after splenic trauma. Objectives: This study was conducted to determine the safety and feasibility of auto-transplantation of splenic fragments in patients with severe splenic injury. Methods: Nineteen patients with severe splenic blunt trauma, who underwent total splenectomy and autotransplantation of splenic fragments at Besat hospital, Hamadan University of Medical Sciences, Iran during years 2015 and 2016, were enrolled in the study. Complete blood counts, blood smear for Howell-Jolly bodies, and phagocytic function tests were performed just before, at 3 months, and 6 months after surgery. Results: The means of red blood cell counts increased significantly at both 3 and 6 months after surgery (P = 0.01 and 0.049, respectively) and the means of hemoglobin, hematocrit, and the percentage of lymphocytes increased significantly at 3 months after surgery (P = 0.001, 0.046, and 0.01 respectively) while this increase was not significant 6 months after surgery (P = 0.52, 0.15, and 0.34, respectively). The Howell-Jolly bodies were present in 5 patients (26.3%) at 3 months after surgery, which was significantly reduced

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Section: Discussionmentioning

confidence: 99%

Auto-Transplantation of Splenic Fragments After Total Splenectomy in Patients with Severe Splenic Trauma Lesions: A Clinical Study

Khorshidi¹,

Kasraianfard²,

Ghaderzadeh³

et al. 2017

Trauma Mon

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“…Then a little spleen parenchyma was imaged (D). proximal and middle part of the splenic artery for spleen-preservation (5, 7) and partial resection of the spleen is performed (8,9). There is also a recent report on spleen auto transplantation (10).…”

Section: Casementioning

confidence: 99%

Preoperative Angioembolization for Spleen Preservation in Grade IV Spleen Injury with Combined Abdominal Trauma

Park

Kim

Cho

et al. 2017

Trauma Image Proced

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A 51-year-old man was admitted to the emergency department. A grade IV spleen injury with contrast extravasation was revealed by an abdominal CT scan. We elected to perform an emergency laparotomy because of severe edema within the small intestines and bleeding from the greater omentum. For a safe preservation of the spleen, a transcatheter arterial embolization was performed before the laparotomy. During the laparotomy, hemostatic agents such as thrombin and the gelatin gel (FloSeal Ⓡ ) and Surgicel Ⓡ were applied for bleeding control around the spleen. The patient was discharged without complications on 6 th day postoperatively.(Trauma Image Proced 2017(2):79-83)

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“…Various methods of splenectomy have been used to preserve the spleen [5,6]. However, because approximately 60% of patients receiving a splenectomy are multiple trauma patients, a splenectomy is viewed as time consuming, and total splenectomy must be elected over spleen preservation when the patient is bleeding profusely [7].…”

mentioning

confidence: 99%

A Comparative Study on the Advantages of Using a Stapling Device in a Splenectomy for Patients with Traumatic Splenic Injury

2021

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The spleen is a solid organ which is susceptible to injury in the event of blunt abdominal trauma. Hemoperitoneum is commonly caused by splenic injury, and severe splenic injuries can result in hypovolemic shock or death. Surgery has been the typical treatment of choice for a splenic rupture caused by abdominal trauma. However, the danger of post splenectomy infection, nonoperative conservative treatments, and embolization may be considered first, before surgery for traumatic splenic injuries [1][2][3].Nonoperative treatments are likely to fail for high American Association for the Surgery of Trauma (AAST) grade splenic injury in a hemodynamically unstable patient or in an injury

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Spleen-preserving surgery after blunt abdominal trauma with splenic hilum involvement

Cited by 3 publications

References 15 publications

Auto-Transplantation of Splenic Fragments After Total Splenectomy in Patients with Severe Splenic Trauma Lesions: A Clinical Study

Auto-Transplantation of Splenic Fragments After Total Splenectomy in Patients with Severe Splenic Trauma Lesions: A Clinical Study

Preoperative Angioembolization for Spleen Preservation in Grade IV Spleen Injury with Combined Abdominal Trauma

A Comparative Study on the Advantages of Using a Stapling Device in a Splenectomy for Patients with Traumatic Splenic Injury

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