Related Experiment Video
Updated: Jul 20, 2026
04:40
Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device
Published on: November 4, 2022
1.1K
Is spleen-preserving surgery safe for abdominal trauma?
Javier Gómez-Sánchez1, Alejandro J Pérez-Alonso1, Marisol Zurita-Saavedra1
1Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario San Cecilio, Granada, España.
Cirugia Y Cirujanos
|October 16, 2023
Summary
Conservative splenic surgery is a safe and effective option for treating splenic trauma, particularly for grades II, III, and IV injuries. This approach is valuable in centers lacking immediate interventional radiology services.
Area of Science:
- Trauma surgery
- Surgical innovation
- Organ preservation
Background:
- Current splenic trauma management relies on non-surgical methods or interventional radiology.
- Conservative surgical spleen treatment for trauma is infrequently utilized.
Purpose of the Study:
- To evaluate the safety and effectiveness of conservative surgical interventions for splenic trauma.
Main Methods:
- Retrospective analysis of 16-year data from a level II hospital.
- Focused on patients undergoing conservative splenic surgery for trauma, excluding splenectomies and non-surgical cases.
Main Results:
- Fifteen patients underwent spleen-sparing surgery for splenic trauma (grades I-IV).
- Surgical techniques included splenorrhaphy, hemostatic agents, polyglycolic acid mesh, partial splenectomy, and electrocautery.
- No patient required subsequent splenectomy, and there were no fatalities.
Conclusions:
- Conservative splenic surgery demonstrates utility and safety for splenic trauma.
- This approach is recommended for grades II, III, and IV splenic trauma, especially in facilities without immediate interventional radiology.
Keywords:
Abdominal injuriesEsplenectomíaHemostaticsHemostáticosLesiones abdominalesRuptura esplénicaSplenectomySplenic ruptureMore Related Videos
Related Concept Videos
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...