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Updated: May 20, 2026
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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Open partial splenectomy for trauma using GIA-Stapler and FloSeal matrix haemostatic agent
Daniela Costamagna1, Sabrina Rizzi, Annunziatino Zampogna
1Department of General and Emergency Surgery, Azienda Ospedaliero Universitaria Maggiore della Carità di Novara, Novara, Italy. daniela_costamagna@hotmail.com
BMJ Case Reports
|July 7, 2012
Summary
This study presents a conservative approach for treating blunt abdominal trauma. Partial splenectomy with hemostasis and fixation successfully managed a Grade III splenic lesion, avoiding full spleen removal.
Area of Science:
- Trauma surgery
- Surgical innovation
- Abdominal injury management
Background:
- Blunt abdominal trauma frequently causes spleen rupture.
- Splenectomy, while common, carries risks due to postsplenectomy syndrome.
- Conservative spleen management is gaining traction.
Observation:
- A 29-year-old male sustained a Grade III splenic lesion from blunt abdominal trauma (car accident).
- The patient presented with significant splenic injury requiring surgical intervention.
Findings:
- A partial upper pole splenectomy was performed using a GIA-Stapler.
- FloSeal matrix hemostatic agent achieved supplemental hemostasis on the stapled line.
- Human fibrin glue was used to fix the remaining splenic tissue.
Implications:
- This case demonstrates the successful application of partial splenectomy for Grade III splenic injuries.
- The combined use of staplers, hemostatic agents, and fibrin glue offers a viable conservative spleen-preserving strategy.
- Minimally invasive techniques can effectively manage splenic trauma, potentially reducing postsplenectomy syndrome risks.