[Splenic conservative surgery in infants]

Area of Science:

• Surgical Innovation
• Trauma Surgery
• Diagnostic Imaging

Background:

• Traditional management of splenic injuries often involved radical surgical intervention.
• There is a growing trend towards adopting less invasive, conservative surgical techniques.
• Spleen preservation is increasingly prioritized in trauma management.

Purpose of the Study:

• To evaluate the efficacy of conservative surgical techniques for splenic injuries.
• To present research findings on splenorrhaphy, segmentary resections, and partial heterotopic autotransplantation in animal models.
• To assess the clinical application and outcomes of splenorrhaphy in pediatric patients.

Main Methods:

• Experimental study involving 12 dogs undergoing splenorrhaphy, segmentary resections, and partial heterotopic autotransplantation.
• Clinical trial applying splenorrhaphy in 12 pediatric patients.
• Utilized scintigraphy with 99m technetium-sulfide colloid for spleen injury diagnosis.

Main Results:

• Splenorrhaphy in pediatric patients demonstrated satisfactory results with no reported morbidity or mortality.
• Experimental procedures provided data supporting the feasibility of tested conservative techniques.
• Scintigraphy with 99m technetium-sulfide colloid proved effective for early spleen injury diagnosis.

Conclusions:

• Conservative surgical management, including splenorrhaphy, is effective and safe for splenic injuries in children.
• Partial heterotopic autotransplantation is a potential alternative in cases requiring splenectomy, aiming for spleen preservation.
• 99m technetium-sulfide colloid scintigraphy is recommended for prompt diagnosis of spleen injuries.