Brunet C, Farisse J, Guillaumont P, Hemon Y, Agostini S
Presse Med. 1986 May 31;15(22):1041-3.
Considerable progress in conservative surgery of the spleen and kidney has been achieved in recent years by wrapping the organ in absorbable mesh. Following an experimental study, this technique has been used in 5 cases of rupture of the liver. Each injured lobe can be wrapped in an absorbable prosthetic sheet which is sutured in such a way as to form a purse applied onto the tissue, to control bleeding and bile leakage. The purse is then sutured to the falciform ligament detached from the diaphragm. Under drainage and provided the liver is watched for cavitation by scanning methods, this technique is simple and consistently effective. It avoids sutures, which are imperfect, and resections, which are fraught with dangers when performed in an emergency.
近年来，通过用可吸收网片包裹脾脏和肾脏，在保守性手术方面取得了显著进展。经过一项实验研究后，该技术已应用于5例肝破裂病例。每个受伤的肝叶都可以用可吸收的人工薄片包裹，通过缝合形成荷包状以贴合组织，从而控制出血和胆汁渗漏。然后将荷包缝合到从膈肌分离的镰状韧带上。在引流的情况下，并且通过扫描方法监测肝脏有无空洞形成，该技术操作简单且效果始终良好。它避免了不完美的缝合以及在紧急情况下进行充满危险的切除术。
