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Splenic preservation: an additional haemostatic measure during mesh splenorrhaphy
Chaitan G Reddy1, Venu Chalasani, Nimalan Pathma-Nathan
1Department of Surgery, Westmead Hospital, Sydney, New South Wales, Australia. chaithan@bigpond.com
Background:
Various treatment measures have been described in achieving splenic preservation following splenic injury. We describe an additional measure in achieving haemostasis during mesh splenorrhaphy.
Methods:
Oxycel (BD, Franklin Lakes, NJ, USA) (topical haemostatic agent composed of oxidized cellulose) is sutured onto the inside of Dexon (Sherwood, Davis & Geck, St Louis, MO, USA) (polyglycolic acid) mesh.
Results:
Two patients with splenic lacerations were operated on from July 2002 to February 2003 using this technique and both patients did not experience postoperative abdominal complications and were clinically well at follow up 1-2 months later.
Conclusions:
In our experience this technique made the Dexon mesh bulkier and easier to secure as well as more haemostatic.