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

Colonic surgery. The splenic connection.

R E Kusminsky, L G Perry, R O Rushden

    Diseases of the Colon and Rectum
    |January 1, 1984
    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

    A second-order and slice-specific linear shimming technique to improve spinal cord fMRI.

    Magnetic resonance imaging·2023
    Same author

    [Translated article] Primary Cutaneous Lymphoma Registry of the Spanish Academy of Dermatology and Venereology (AEDV): Data for the First 5 Years.

    Actas dermo-sifiliograficas·2023
    Same author

    Primary Cutaneous Lymphoma Registry of the Spanish Academy of Dermatology and Venereology (AEDV): Data for the First 5 Years.

    Actas dermo-sifiliograficas·2022
    Same author

    Do we know enough to quantify the impact of urban green spaces on mortality? An analysis of the current knowledge.

    Public health·2021
    Same author

    Functions of Dermatology Residents' Supervisors.

    Actas dermo-sifiliograficas·2020
    Same author

    Social contributors to cardiometabolic diseases in indigenous populations: an international Delphi study.

    Public health·2019
    Same journal

    Selected Abstracts.

    Diseases of the colon and rectum·2026
    Same journal

    A Penny for Your Thoughts.

    Diseases of the colon and rectum·2026
    Same journal

    June 2026 Translations.

    Diseases of the colon and rectum·2026
    Same journal

    Selected Abstracts.

    Diseases of the colon and rectum·2026
    Same journal

    Recurrence After Rectopexy: Insights From Magnetic Resonance Defecography.

    Diseases of the colon and rectum·2026
    Same journal

    Risk of Metabolic Disease After Right- vs Left-Sided Colectomy for Colon Cancer: A Nationwide Cohort Study.

    Diseases of the colon and rectum·2026
    See all related articles

    Surgical splenic injury during colonic resection can be managed safely by spleen salvage or omental autotransplantation, preserving spleen function and preventing sepsis.

    Area of Science:

    • Abdominal Surgery
    • Surgical Pathology
    • Immunology

    Background:

    • Colonic resections, especially involving the splenic flexure, risk iatrogenic splenic injury.
    • Traditionally, splenectomy was the standard for splenic injuries, despite the spleen's role in sepsis prevention.
    • Evolving understanding of splenic physiology has shifted focus towards spleen preservation.

    Purpose of the Study:

    • To review current options for managing splenic injuries during colonic surgery.
    • To evaluate the safety and efficacy of spleen salvage techniques.
    • To present outcomes of omental autotransplantation for unreconstructable splenic injuries.

    Main Methods:

    • Review of surgical literature on splenic preservation techniques.
    • Analysis of outcomes in 36 general surgery patients with splenic injuries undergoing salvage.

    Related Experiment Videos

  • Evaluation of omental autotransplantation in 23 patients with splenic injuries.

    • Main Results:

    • Spleen salvage was demonstrated as a safe and viable alternative in 36 patients.
    • Omental autotransplantation proved to be a simple and effective technique in 23 patients when salvage was not feasible.
    • Both spleen salvage and autotransplantation offer alternatives to splenectomy, preserving splenic function.

    Conclusions:

    • Spleen preservation is a safe alternative to splenectomy in cases of iatrogenic splenic injury during colonic resection.
    • Omental autotransplantation is a promising technique for managing unreconstructable splenic injuries.
    • Preserving spleen function is crucial for preventing sepsis and should be prioritized in surgical decision-making.