[Conservative surgery in injuries and focal formations of the spleen]

Clinical records of 128 operations on the spleen including 102 organ-saving procedures are surveyed [correction of servieved]. Basing on his rich experience of organ-saving operations the author suggests classification of injuries of the spleen resting on the criteria dictating certain surgical policy. Diagnostic algorithm is proposed which provides early and correct diagnosis. The techniques are described including original approach which save the spleen or its part in lesions of various locations and sizes. Saving policy is based on peculiarities of intraorganic circulation and is justified by functional importance of the spleen in the body.