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 (SCS).
The author's (SG) technique of sliding clip splenorrhaphy was similar (with some modification) to the sliding-clip renorrhaphy now commonly used to close a renal defect after partial nephrectomy (Fig.
Splenic conservation was attempted in 4 patients using sliding-clip splenorrhaphy and 3 out of 4 were successfully repaired.
13) Although there was initial concern about infection, the Dexon mesh splenorrhaphy has been effectively used to control splenic bleeding due to intraoperative injury.
In deep splenic tear, we recommend a sliding clip splenorrhaphy.
Sliding clip splenorrhaphy was applied to only 4 of our patients because the surgeon (SG) was involved in the procedure and the remaining 2 splenectomies were done by other surgeons.
This, to our knowledge, is the first report of splenic conservation using sliding-clip splenorrhaphy for ISI.
Dexon mesh splenorrhaphy for intraoperative splenic injuries.
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).