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Sutureless "button and hole" splenopexy

S M Zivkovic1

  • 1University Children's Hospital, Belgrade, Yugoslavia.

Pediatric Surgery International
|May 1, 1998
PubMed
Summary

A novel sutureless splenopexy technique effectively secures mobile spleens without foreign materials. This minimally invasive approach is suitable for complex cases, offering good results in patients with gastric volvulus and splenic torsion.

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Area of Science:

  • Surgical Innovation
  • Abdominal Surgery
  • Gastroenterology

Background:

  • Mobile spleen (wandering spleen) can lead to complications like gastric volvulus and splenic torsion.
  • Existing splenopexy techniques may involve foreign materials or be challenging in specific anatomical variations.

Purpose of the Study:

  • To describe a new sutureless splenopexy technique for fixing a mobile spleen.
  • To evaluate the feasibility and efficacy of this technique in patients with mobile spleen complications.

Main Methods:

  • A "button and hole" sutureless splenopexy was performed on six patients between 1979 and 1995.
  • The technique was applied in cases of gastric volvulus and splenic torsion, including those with absent gastrosplenic ligament.

Main Results:

  • The sutureless splenopexy effectively secured the mobile spleen in its anatomical bed without foreign materials.
  • Good results were achieved, particularly in two cases where the wandering spleen caused gastric volvulus.
  • The procedure was feasible even with absent gastrosplenic ligament and uncovered splenic vessels.

Conclusions:

  • The "button and hole" sutureless splenopexy is a safe and effective method for treating mobile spleen.
  • This technique offers advantages in terms of minimal invasiveness and avoidance of foreign materials.
  • It is a viable option for complex cases of mobile spleen, including those associated with gastric volvulus and splenic torsion.

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