[Method of treatment of combined injuries of the liver and spleen in children].

Since 1980 operations for combined injuries of the liver and spleen have been made on 57 children aged from 5 through 16 years. Autografting of splenic tissue into the liver wound was performed in 17 (29.8%) patients using an original technique developed in experiments. The novelty of the suggested technique is that autografting of splenic tissue into the liver wound was followed by fixing the fragments with Pi-like stitches through the spleen transplant capsule. It ensures the impermeability of the liver wound, adequate hemostasis without applying artificial hemostatic materials and helps to avoid alloplastic materials for additional drainage of the subhepatic space, provides a direct physiological contact between the splenoid and liver tissue that is effective for prevention of hyposplenism following spleenectomy.