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Laparoscopic splenopexy for wandering (pelvic) spleen
M S Cohen1, N J Soper, R A Underwood
1Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Surgical Laparoscopy & Endoscopy
|August 15, 1998
Summary
Laparoscopic splenopexy successfully treated a wandering spleen in a young woman, preserving splenic function. This minimally invasive approach offers a safe and effective option for this rare condition.
Area of Science:
- Surgical Innovation
- Abdominal Surgery
- Minimally Invasive Procedures
Background:
- Wandering spleen is a rare condition with a high risk of splenic torsion and infarction.
- Current treatment involves splenopexy to fixate the spleen in the left upper quadrant, preserving function.
Observation:
- A 19-year-old woman presented with an asymptomatic pelvic mass.
- Diagnostic imaging revealed a wandering spleen located in the pelvis.
Findings:
- The first laparoscopic splenopexy was performed using Vicryl mesh for fixation.
- The procedure was completed in 175 minutes with no complications.
- The patient recovered quickly and remained asymptomatic at 7-month follow-up.
Implications:
- Laparoscopic splenopexy is a viable and safe treatment for wandering spleen.
- This minimally invasive technique should be considered for managing this rare splenic anomaly.