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[Bengmark spleen transposition in children].

F Meissner, U Schenker

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |June 1, 1987
    PubMed
    Summary
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    Spleen transposition, a surgical technique for portal hypertension, involves implanting two-thirds of the spleen into the abdominal wall. This method creates a portosystemic anastomosis and offers an alternative to traditional shunt operations.

    Area of Science:

    • Surgical innovation in pediatric gastroenterology and hepatology.
    • Vascular surgery and interventional radiology.

    Context:

    • Portal hypertension in children presents significant therapeutic challenges.
    • Traditional surgical treatments like portosystemic shunts carry risks.
    • Limited effective alternatives exist for managing pediatric portal hypertension.

    Purpose:

    • To evaluate the efficacy and feasibility of spleen transposition (Bengmark technique) in pediatric patients with portal hypertension.
    • To assess the development of subcutaneous portosystemic anastomosis following the procedure.
    • To present spleen transposition as a viable alternative to conventional shunt operations.

    Summary:

    • A historical review of surgical therapies for portal hypertension preceded the report.

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  • Six pediatric patients underwent spleen transposition, with two-thirds of the spleen removed and the remainder implanted into the abdominal wall.
  • This surgical approach successfully established subcutaneous portosystemic anastomosis.
  • Impact:

    • Spleen transposition offers a novel surgical approach for pediatric portal hypertension.
    • The technique provides a potential alternative to standard portosystemic shunts.
    • This method may improve outcomes and reduce complications in affected children.