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Laparoscopic pocket splenopexy for wandering spleen: a case report
Marcelo Martínez-Ferro1, Gastón Elmo, Pablo Laje
1Division of Pediatric Surgery, National Pediatric Hospital "Juan P. Garrahan," B1636 DIK Buenos Aires, Argentina. martinezferro@fibertel.com.ar
Journal of Pediatric Surgery
|June 7, 2005
Summary
Wandering spleen, a rare condition, poses risks of torsion and ischemia. A new laparoscopic splenopexy technique effectively secures the spleen using the patient
Area of Science:
- Surgical Innovation
- Gastroenterology
- Abdominal Surgery
Background:
- Wandering spleen is a rare congenital anomaly.
- It carries a significant risk of splenic pedicle torsion, leading to ischemia and infarction.
- Splenectomy is sometimes required, but splenopexy is the preferred treatment.
Observation:
- A novel laparoscopic splenopexy technique was developed.
- This procedure utilizes the patient's own tissues for spleen fixation.
- The technique was evaluated in a clinical setting.
Findings:
- The laparoscopic splenopexy demonstrated excellent spleen fixation.
- Post-operative follow-up over 2 years showed the spleen remained in place.
- Good splenic perfusion was maintained throughout the follow-up period.
Implications:
- This minimally invasive approach offers a viable alternative to open surgery for wandering spleen.
- Effective splenopexy can prevent splenic infarction and the need for splenectomy.
- The technique preserves splenic function and avoids lifelong complications associated with its absence.