The advantages of early operation with splenorrhaphy versus nonoperative management for the blunt splenic trauma patient.
Dexon mesh splenorrhaphy for intraoperative splenic injuries.
Case one was treated successfully with splenic salvage or splenorrhaphy
, which is not commonly done but an appropriate treatment path for this patient as the two main parts of the ruptured spleen still had a good blood supply.
study closure of bowel perforation was done in 13 patients, colostomy in 2 patients, repair of mesentery in 9 patients, splenectomy in 4 patients, splenorrhaphy
in 1 patient and hepatorrhaphy in 6 patients; 50% of patients were managed conservatively, other 50% by operative methods; so compared to other studies the operative management was increased.
Splenectomy was performed in 5 patients with isolated spleen injury, and splenorrhaphy
was performed in the remaining patient.
4) The true incidence of ISI during nephrectomy is unknown and there is no report in the literature on splenic salvage using sliding-clip splenorrhaphy
Successful hemostasis was achieved by lining of the cyst cavity with Surgicel and with splenorrhaphy
Examples of therapeutic laparoscopy for trauma include diaphragm and abdominal wall repair, splenorrhaphy
and splenectomy, repair of hollow viscus puncture, and cauterizing or other control of bleeding (2-6).
Of those in the first 2 decades of life, 17 (49%) splenic injuries were either managed non-operatively or underwent splenorrhaphy
, compared with only 5 (25%) in the older decades.
Splenic capping: an experimental study of a new technique for splenorrhaphy
using woven polyglycolic acid mesh.
OF PATIENTS PERCENTAGE Closure of perforation 25 25% Splenectomy 13 13% Splenorrhaphy
5 5% Hepatorraphy 10 10% Repair of mesentery 2 2% Resection & anastamosis 11 11% Bladder repair 5 5% Colostomy 2 2% Gastric perforation repair 1 2%