[Splenic capping in the treatment of severe spleen injuries].

INTRODUCTION

Permanent and lifelong threat of developing fatal sepsis and other severe infections in splenectomized patients is an important reason for promoting splenic preservation.

MATERIAL AND METHODS

Experimental preservation of severe spleen injuries (grade IV), with splenic-capping, was performed in 30 dogs, operated using Ketalar anesthesia. Spleen preservation and concomitant treatment of excessive hemorrhage were achieved by highly controlled "conic" compression of injuried spleen parenchyma, additional hemostatic Z-sutures and fibrin tissue adhesion.

RESULTS

Satisfactory hemostasis and complete preservation of the spleen parenchyma damage were achieved in 20% by splenic capping splenorraphy, alone. Additional placement of hemostatic sutures was necessary in 30%, and concomitant application of serum thymic factor (STF) FTA (along with sutures) in 50% of patients. The above mentioned techniques were very effective in achieving hemostasis (100%), with no mortality and low rate of postoperative complications--6.7% (1 intrasplenic abscess and 1 adhesive ileus).

CONCLUSION

Excellent results and efficacy, splenic capping-splenorraphy is the method of choice in the treatment of severe and multiple transcapsular spleen injuries with involvement of segmental vessels.