However, spleenpreserving treatments (SPTs) including non-operative management (NOM) with or without splenic angioembolization (SAE), partial splenectomy, and splenorrhaphy
have been gradually implemented in time.
of Percentage Patients Splenectomy 11 22 Hepatorrhaphy 8 16 Closure of perforation 7 14 Splenorrhaphy
4 8 Resection anastomosis 4 8 Drainage procedure 3 6 Splenorrhaphy
and mesenteric 3 6 closure Mesenteric rent closure 2 4 Colostomy 2 4 Hepatorrhaphy and Mesenteric 1 2 closure Resection anastomosis and 1 2 mesenteric closure Hepatorrhaphy and Splenorrhaphy
1 2 Resection anastomosis and 1 2 pancreatic tube Hepatorrhaphy and closure of 1 2 perforation and resection anastomosis Table 4.
Miyauchi et al., "Does splenic preservation treatment (embolization, splenorrhaphy
, and partial splenectomy) improve immunologic function and long-term prognosis after splenic injury?," The Journal of Trauma, vol.
The advantages of early operation with splenorrhaphy
versus nonoperative management for the blunt splenic trauma patient.
Attempts at splenic salvage include splenorrhaphy
and partial splenectomy.
Of the 2243 patients in study, 610 (27 %) underwent immediate splenectomy, splenorrhaphy
, or splenic embolization within 4 hours.
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.
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
. The diagnosis of a primary mesothelial cyst was based on the histology report (Figure 5).
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.