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Splenic salvage using biologic glue.

H B Kram, W C Shoemaker, S T Hino

    Archives of Surgery (Chicago, Ill. : 1960)
    |November 1, 1984
    PubMed
    Summary
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    Fibrin sealant (FS) effectively controlled bleeding in splenic injuries in dogs. This biologic adhesive promoted healing and showed good compatibility, reducing the need for sutures.

    Area of Science:

    • Veterinary Surgery
    • Biomaterials Science
    • Surgical Hemostasis

    Background:

    • Fibrin sealant (FS) is a biologic adhesive used for tissue sealing and hemostasis.
    • Its efficacy in managing splenic injuries requires further investigation.

    Purpose of the Study:

    • To evaluate the effectiveness of FS in achieving hemostasis and promoting healing in experimentally induced splenic injuries in dogs.
    • To assess the systemic and local compatibility of FS in this context.

    Main Methods:

    • Thirty-two experimentally produced splenic injuries were created in six adult mongrel dogs.
    • FS was applied to achieve hemostasis before wound closure.
    • Dogs were monitored and reexplored at intervals from 4 hours to 6 weeks.

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    Main Results:

    • Complete hemostasis was achieved in all dogs prior to closure.
    • No gross splenic disruption or recurrent bleeding was observed during reexploration.
    • Histologic examination revealed regenerated fibrous capsules over injuries without significant inflammation.

    Conclusions:

    • FS provides adequate hemostatic control for both superficial and deep splenic injuries.
    • FS demonstrates good systemic and local compatibility and promotes splenic wound healing.
    • Application of FS can reduce the need for traumatic parenchymal sutures.