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[Clinical use of new organ-saving technics in splenic surgery].

作者信息

Uranüs S, Kronberger L, Pinter H, Stenzl W

机构信息

Department für Allgemeinchirurgie, Universitätsklinik für Chirurgie, Graz.

出版信息

Chirurg. 1990 Feb;61(2):116-20.

PMID:2318069
Abstract

During a period of 19 months, 22 organ preserving splenic operations were performed. Eleven of these, were severe third degree traumatic bursting ruptures, which were treated using a resorbable compressive mesh. An intralienal pancreatic cyst, a case of splenomegaly suspicious for lymphoma, one traumatic and two accidental polar lesions were treated by partial splenic resection using stapler. In two patients with traumatic and four with accidental first and second degree lienal lesions, collagen tampon and fibrin adhesive were employed. None of these patients required a second laparotomy. Aside from an edematous tail pancreatitis, no complications arose. Two patients succumbed to their severe cranial injuries. In the same period, four posttraumatic splenectomies were performed. Thus, excluding incidental and technical splenectomies, the application of the described methods resulted in orthotopic splenic preservation in 78% of traumatic splenic ruptures.

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