脾脏保留：补片脾修补术中的一项额外止血措施。
Splenic preservation: an additional haemostatic measure during mesh splenorrhaphy.
作者信息
Reddy Chaitan G, Chalasani Venu, Pathma-Nathan Nimalan
机构信息
Department of Surgery, Westmead Hospital, Sydney, New South Wales, Australia.
出版信息
ANZ J Surg. 2004 Jul;74(7):596-7. doi: 10.1111/j.1445-2197.2004.03065.x.
BACKGROUND
Various treatment measures have been described in achieving splenic preservation following splenic injury. We describe an additional measure in achieving haemostasis during mesh splenorrhaphy.
METHODS
Oxycel (BD, Franklin Lakes, NJ, USA) (topical haemostatic agent composed of oxidized cellulose) is sutured onto the inside of Dexon (Sherwood, Davis & Geck, St Louis, MO, USA) (polyglycolic acid) mesh.
RESULTS
Two patients with splenic lacerations were operated on from July 2002 to February 2003 using this technique and both patients did not experience postoperative abdominal complications and were clinically well at follow up 1-2 months later.
CONCLUSIONS
In our experience this technique made the Dexon mesh bulkier and easier to secure as well as more haemostatic.
背景
在脾损伤后实现脾脏保留方面已有多种治疗措施被描述。我们描述了一种在网状脾修补术中实现止血的额外措施。
方法
将Oxycel（美国新泽西州富兰克林湖市BD公司生产）（一种由氧化纤维素组成的局部止血剂）缝合到Dexon（美国密苏里州圣路易斯市舍伍德·戴维斯&盖克公司生产）（聚乙醇酸）网的内侧。
结果
2002年7月至2003年2月，两名脾裂伤患者接受了此项技术手术，两名患者术后均未出现腹部并发症，术后1至2个月随访时临床状况良好。
结论
根据我们的经验，这项技术使Dexon网更厚实，更易于固定，且止血效果更好。
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