Surgical technic for treatment of splenic rupture

Ruf, W.

doi:10.1097/00005373-198003000-00027

Cited by 2 publications

(5 citation statements)

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“…A similar operative protocol has subsequently been used by several authors, most of them cited our work: Zappala [61], Campos Christo [9] from the Brazilian school of Belo Horizonte, Bourgeon and Mouiel [5], De Boer et al [16], Morgenstern, Shapiro [38], Wolfgang Ruf et al [60], Dixon et al…”

Section: Experimental Basismentioning

confidence: 99%

“…The splenic parenchyma is reputedly very friable and as far as its suturing is concerned, Wolfgang Ruf et al [60] suggested either simple straight through sutures or U-shaped sutures supported by two silastic bolsters strips which had been previously perforated (see diagram). No case of immediate or secondary haemorrhage resulted from their experience with nine baboons and one dog (Fig.…”

Section: Experimental Basismentioning

confidence: 99%

“…8). [60]. Supportive sutures -either straight through or Ushaped -on bolsters strips of perforated silastic Spl6norraphie et spl6nectomie partielle (d'apr+s Ruf [60]).…”

Section: Experimental Basismentioning

confidence: 99%

“…[60]. Supportive sutures -either straight through or Ushaped -on bolsters strips of perforated silastic Spl6norraphie et spl6nectomie partielle (d'apr+s Ruf [60]). Sutures appuy~es simples ou en U -sur lani+res de silastic perfor6es ments may best be distinguished by injecting the segmental artery with methylene blue.…”

Section: Experimental Basismentioning

confidence: 99%

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Anatomical approach to the vascular segmentation of the spleen (lien) based on controlled experimental partial splenectomies

et al. 1982

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Summary.The role played by the spleen in the immunological defence against infection is well known. The authors have carried out an anatomical and experimental study on the vascular segmentation of the spleen, on which they base the technique of controlled partial splenectomy. They emphasise that in 300 splenorraphies and partial splenectomies collected in 1979 from the literature by Morgenstein, no case necessitated further surgical intervention for removal of remaining spleen. Segmentation vasculaire de la rate 0ien). Bases anatomiques et exl~rimentation des spl6nectomies partieUes r6gl6esRe~um~. Le r61e jou6 par la rate dans la d6fense immunologique contre l'infection est bien connu. Les auteurs font une 6tude de la segmentation vasculaire de la rate, anatomique et exp6rimentale, /t partir de laquelle est d6crite la technique d'une spl6nectomie partielle r~gl6e. Ils rappellent que sur 300 spl6norraphies et spl6nectomies partielles collig6es en 1979 dans la litt6rature par Morgenstein, aucune r~intervention pour compl6ment d'ex6r6se n'est signal6e.

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Section: Experimental Basismentioning

confidence: 99%

Section: Experimental Basismentioning

confidence: 99%

“…8). [60]. Supportive sutures -either straight through or Ushaped -on bolsters strips of perforated silastic Spl6norraphie et spl6nectomie partielle (d'apr+s Ruf [60]).…”

Section: Experimental Basismentioning

confidence: 99%

Section: Experimental Basismentioning

confidence: 99%

See 2 more Smart Citations

Anatomical approach to the vascular segmentation of the spleen (lien) based on controlled experimental partial splenectomies

et al. 1982

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“…When the importance of the spleen to the immunological integrity of the organism was understood, renewed efforts to conserve the spleen were made. Ruf et al (1979) and Morgenstern and Shapiro (1979) report on various experimental and clinical techniques of splenorrhaphy and Mishalany et al (1978) and Strauch (1979) add 13 more cases treated by conservative means, such as suturing, partial splenectomy, use of haemostatic agents or even a non-operative approach. The non-operative approach is the most controversial and is advocated in several cases.…”

Section: Conservative Approaches To Splenic Surgerymentioning

confidence: 99%

Malign effects of splenectomy—the place of conservative treatment

Werbin

Lodha

1982

Postgraduate Medical Journal

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In this review article the incidence is discussed of overwhelming post-splenectomy infection (OPSI), which is especially likely to occur in children and when splenectomy is carried out for haematological disorders. Long-term broad spectrum antibiotics or the use of polyvalent pneumococcal vaccine are often advocated as prophylactic measures under these circumstances. After mild splenic trauma, conservative surgery or partial splenectomy may be indicated in some cases. Where trauma is more severe and the spleen cannot safely be preserved there may be a place for autotransplantation of splenic slices, for example into a pocket of omentum, and there is some experimental support for this technique.

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Surgical technic for treatment of splenic rupture

Cited by 2 publications

References 0 publications

Anatomical approach to the vascular segmentation of the spleen (lien) based on controlled experimental partial splenectomies

Anatomical approach to the vascular segmentation of the spleen (lien) based on controlled experimental partial splenectomies

Malign effects of splenectomy—the place of conservative treatment

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