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Related Experiment Videos

Hand-assisted laparoscopic splenectomy for ruptured spleen.

C J Ren1, B Salky, M Reiner

  • 1Division of Laparoscopic Surgery, Department of Surgery, Mount Sinai Medical Center, 1 Gustave L. Levy Place, Box 1103, New York, NY 10029, USA. christine_ren@hotmail.com

Surgical Endoscopy
|May 19, 2001
PubMed
Summary
This summary is machine-generated.

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Laparoscopic splenectomy for splenic rupture is challenging due to bleeding. A hand-assist device enabled a successful laparoscopic splenectomy, avoiding open surgery in a trauma case.

Area of Science:

  • Surgical innovation
  • Minimally invasive surgery
  • Trauma surgery

Background:

  • Laparoscopic splenectomy is accepted for elective procedures but controversial in trauma.
  • Splenic rupture presents challenges for laparoscopy, including vascular control and visibility.
  • Few reports exist on laparoscopic splenorrhaphy for trauma, none on splenectomy.

Observation:

  • A case of splenic rupture in a trauma setting was managed surgically.
  • Laparoscopic approach was initially considered but faced typical obstacles like bleeding.
  • A hand-assist device was employed to overcome laparoscopic limitations.

Findings:

  • The hand-assist device facilitated tactile sensation and immediate vascular control.
  • This allowed conversion from a standard laparoscopic approach to a hand-assisted laparoscopic splenectomy.

Related Experiment Videos

  • The procedure successfully managed the splenic rupture, avoiding laparotomy.

    • Implications:

    • Hand-assist devices can be a valuable tool in complex laparoscopic trauma surgery.
    • This technique offers an alternative to open surgery (laparotomy) in cases of splenic rupture.
    • Further exploration of hand-assist devices in trauma laparoscopy is warranted.