Title: The choice of splenic salvage operations in splenic trauma-A report of 158 cases
Abstract: Objective To evaluate the choice of splenic salvage operations in splenic trauma.Methods Several splenic salvage operations were performed on 158 cases of splenic trauma from Oct.1987 to Oct.1999.Among them 5 cases were treated by argon beam coagulator, 3 ZT biotic binding agent, 26 splenorrhaphy, 77 partial splenectomy, 12 combined splenorrhaphy and partial splenectomy, 35 total splenectomy with autologous spleen slices implanted into the greater omentum.Results All the patients were cured.In the group of total splenectomy with autologous spleen slices implanted into the greater omentum (35 cases), 2 suffered from adhesive intestinal obstruction and 11 from postoperative infection, while in the group of other splenic salvage operations (123 cases), 10 suffered from postoperative infection.The infection rate in these two groups was statistically different ( P 0.01 ).Conclusion In splenic trauma, choosing a splenic salvage operation should be in accordance with patient's individual situation and types of splenic rupture.Combined splenic salvage operations can be applied in certain conditions.For those patients together with rupture of hollow viscus, splenic salvage operations also can be done selectively.The total splenectomy with autologous spleen slices implanted into the greater omentum should be carefully selected.
Publication Year: 2001
Publication Date: 2001-01-01
Language: en
Type: article
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