[Autotransplantation of the spleen]

The authors present a report on the autotransplantation of the damaged spleen by successful use of a tissue fibrin glue to fix thin lienal slices to the greater omentum. The new method was used in 8 men and 2 women, with the exception of one man in all patients after multiple injuries. From the total number two women died from sequelae of the injuries. Complications caused by replantation of the tissue were not observed. All the other patients survive and have no complaints associated with the loss of the spleen. The function of the transplant can be tested only by scintigraphy and laboratory examination. Other examinations by means of sonography, CT, X-ray of the stomach and irrigoscopy are not conclusive. The described method of replantation is suitable as it is simple and safe. In children orthotopic replantation is more suitable.