[Initial clinical experiences with fibrin adhesives in traumatic and intraoperative splenic injury]

Over a period of 14 months, 2 traumatic and 14 intraoperative splenic lesions were managed by application of fibrin tissue adhesive, mostly in combination with the use of a collagen sponge. In all cases hemorrhage could be stopped completely with out mobilization of the spleen. This method proved to be very suitable in the repair of smaller incidental capsular tears. In the management of more extensive traumatic ruptures, it should support the conventional surgical techniques described in the literature. It certainly will make these procedures safer and easier to perform.