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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Urgent situations in phlebology--variceal bleeding and it's treatment
11st Department of Surgery, Faculty of Medicine, Comenius University, University Hospital, Bratislava, Slovakia.
Abstract:
The aim of this study was to compare the therapeutic results of patients whose bleeding points were sutured and patients treated with compression sclerotherapy. In the years 1983-2000, 56 patients with profuse bleeding from varicose veins were treated. In a subgroup of patients with compression sclerotherapy--Fegan's way (32 patients), bleeding wound was healed completely within 7 days on average (5-13). All ulcers have healed within 2 months. The presented approach used is a surgical procedure (stitch, removal of large varicosities). Fegan's technique of compression sclerotherapy, with a detergent sclerosing solution (S.T.D.), enables to complete sclerotherapy of all pathological reflux points during 1-2 visits not only with good results, but also as a one-day surgery, keeping the patient work (Ref. 7).
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