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

Splenic protection in left upper quadrant operations.

T B Hugh, M J Coleman, A Cohen

    The Australian and New Zealand Journal of Surgery
    |December 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    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

    tDNA(ser) sequences are involved in the excision of Streptomyces griseus plasmid pSG1.

    Gene·1992
    Same author

    Expression of cytokines and their receptors by human thymocytes and thymic stromal cells.

    Immunology·1992
    Same author

    Conservative surgery and radiation therapy for intraductal carcinoma of the breast.

    The Journal of the Florida Medical Association·1992
    Same author

    Asymmetry in visual search for targets defined by differences in movement speed.

    Journal of experimental psychology. Human perception and performance·1992
    Same author

    Clinical decision making for discharge planning in a changing psychiatric environment.

    Health & social work·1992
    Same author

    Immunization of colorectal cancer patients with modified ovine submaxillary gland mucin and adjuvants induces IgM and IgG antibodies to sialylated Tn.

    Cancer research·1992

    Preventing incidental splenectomy during upper quadrant surgery is crucial. A

    Area of Science:

    • Surgical Oncology
    • Gastrointestinal Surgery
    • Abdominal Surgery

    Background:

    • Splenectomy carries significant immediate and long-term patient risks, necessitating its reservation for unavoidable indications.
    • Incidental splenectomy, accidental spleen removal during other procedures, constitutes up to 40% of splenectomies.
    • Left upper quadrant operations, including gastric and colonic procedures, are associated with higher incidental splenectomy rates (2-9%).

    Purpose of the Study:

    • To evaluate the efficacy of a proactive surgical strategy ('defusing' the spleen) in preventing splenic injury during left upper quadrant operations.
    • To assess the rate of accidental splenectomy and postoperative splenic complications following the implementation of this protective measure.

    Main Methods:

    • Implementation of a specific operative technique ('defusing' the spleen) as the initial step in all left upper quadrant surgeries.

    Related Experiment Videos

  • Prospective monitoring of 417 consecutive operations over a 5-year period.
  • Documentation of any splenic injuries, need for splenectomy, and postoperative bleeding.

    • Main Results:

    • No spleens were removed due to accidental injury in 417 consecutive operations.
    • Minor splenic capsular tears occurred but were successfully managed with intraoperative hemostatic measures.
    • Zero cases of postoperative splenic bleeding were reported.

    Conclusions:

    • 'Defusing' the spleen is an effective strategy for preventing splenic injury during left upper quadrant surgery.
    • This proactive approach significantly reduces the incidence of incidental splenectomy and associated complications.