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Splenorrhaphy for splenic damage in patients with multiple injuries
A P Aidonopoulos1, S T Papavramidis, G D Goutzamanis
1Surgical Department III, A.H.E.P.A Hospital, Aristotelian University of Thessaloniki, Macedonia, Greece.
The European Journal of Surgery = Acta Chirurgica
|April 1, 1995
Summary
The figure of eight suture technique effectively controls splenic bleeding in trauma patients. This method proved safe and successful, preserving splenic function and parenchyma in multiple injury cases.
Area of Science:
- Trauma Surgery
- Surgical Techniques
- Abdominal Trauma Management
Background:
- Blunt abdominal trauma frequently causes splenic injuries.
- Surgical intervention is often necessary to control splenic hemorrhage.
- Conservative management of splenic injuries is evolving.
Purpose of the Study:
- To assess the efficacy of the 'figure of eight' suture for splenorrhaphy.
- To evaluate outcomes in patients with multiple injuries and splenic damage.
- To determine the safety and success rate of this specific suture technique.
Main Methods:
- An open clinical study was conducted at a university hospital.
- 25 patients with blunt abdominal trauma and splenic injuries underwent splenorrhaphy.
- A 'figure of eight' suture technique using chromic catgut was employed, with oxidized cellulose.
Main Results:
- No deaths occurred directly from splenic injury.
- Hemorrhage was controlled in 23 patients; 2 with grade IV injuries required additional vessel ligation.
- Two patients with grade III injuries experienced re-bleeding and underwent splenectomy.
- All patients maintained good splenic function, confirmed by imaging.
Conclusions:
- The 'figure of eight' suture is a safe and effective method for controlling splenic bleeding in trauma.
- This technique facilitates the preservation of splenic function and parenchyma.
- It represents a viable option for managing complex splenic injuries within a polytrauma context.