Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Iatrogenic splenic injury.

K Cassar1, A Munro

  • 1Department of Surgery, Raigmore Hospital, Inverness IV2 3 UJ, UK.

Journal of the Royal College of Surgeons of Edinburgh
|January 4, 2003
PubMed
Summary

Iatrogenic splenic injury is an underestimated complication of abdominal surgery, often leading to increased morbidity and mortality. Improved surgical techniques and documentation are crucial for prevention and management.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Baseline Neurocognitive Functioning in Children/Teenagers and Young Adults Treated for Central Nervous System Malignancies Prior to Proton Therapy.

Clinical oncology (Royal College of Radiologists (Great Britain))·2026
Same author

Improving treatment for people with cognitive impairment and substance misuse issues: Lessons from an inclusive residential treatment program pilot in Australia.

Disability and health journal·2022
Same author

The progression rate of peripheral arterial disease in patients with intermittent claudication: a systematic review.

Journal of foot and ankle research·2019
Same author

Maternal respiratory distress and successful reversal with sugammadex during intrauterine transfusion with fetal paralysis.

International journal of obstetric anesthesia·2019
Same author

Risk of persistent or recurrent cervical neoplasia in patients with 'pure' adenocarcinoma-in-situ (AIS) or mixed AIS and high-grade cervical squamous neoplasia (cervical intra-epithelial neoplasia grades 2 and 3 (CIN 2/3)): a population-based study.

BJOG : an international journal of obstetrics and gynaecology·2017
Same author

The impact of human papillomavirus type on colposcopy performance in women offered HPV immunisation in a catch-up vaccine programme: a two-centre observational study.

BJOG : an international journal of obstetrics and gynaecology·2017

Area of Science:

  • Surgical Complications
  • Abdominal Surgery
  • Splenic Injury

Background:

  • Iatrogenic splenic injury is an under-recognized complication of abdominal surgery.
  • Poor documentation leads to underestimation of its incidence and impact.

Purpose of the Study:

  • To estimate the incidence of iatrogenic splenic injury during abdominal surgery.
  • To assess associated morbidity, mortality, and risk factors.
  • To identify injury mechanisms and suggest prevention/management strategies.

Main Methods:

  • Medline literature search for relevant articles.
  • Inclusion of articles on incidental splenectomy, iatrogenic splenic injury, and splenectomy complications.
  • Review of reference lists from identified articles.

Main Results:

  • Up to 40% of splenectomies are for iatrogenic injury.
  • Highest risk during specific procedures like left hemicolectomy and aortic reconstruction.
  • Splenic injury increases operating time, blood loss, hospital stay, infection rates, and morbidity/mortality.

Conclusions:

  • Iatrogenic splenic injury incidence is underestimated due to poor documentation.
  • Prevention involves good surgical visualization, avoiding traction, and careful dissection.
  • Splenic preservation is desirable when feasible without excessive blood loss.

Related Experiment Videos