[Splenic implantation in spleen injuries]

Area of Science:

• Surgical techniques
• Trauma surgery
• Organ transplantation

Context:

• Abdominal trauma and splenic rupture necessitate splenectomy.
• Limited options exist for preserving splenic function after trauma.
• Splenic autotransplantation is an alternative to complete splenectomy.

Purpose:

• To evaluate the feasibility and outcomes of splenic autotransplantation in patients with splenic rupture due to abdominal trauma.
• To assess the viability, growth, and postoperative complications of autotransplanted splenic tissue.

Summary:

• Three patients underwent splenic autotransplantation following splenectomy for traumatic splenic rupture.
• A technique involving suturing small splenic tissue fragments (1 cm²) to the splenic bed using 2-0 chromic catgut was employed.
• The procedure successfully achieved splenic tissue viability and growth, with no reported postoperative complications.

Impact:

• Splenic autotransplantation is a valuable surgical procedure for managing splenic trauma.
• This technique expands the surgeon's options for preserving splenic function.
• Successful autotransplantation may mitigate long-term consequences of splenectomy.