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Laparoscopic Splenopexy Due to Wandering Spleen: Feasible Technique.

作者信息

Sumer Fatih, Okut Gokalp, Kaplan Kuntay, Gunes Orgun, Kayaalp Cuneyt

机构信息

Gastrointestinal Surgery, Irmet Hospital International, Tekirdag, TUR.

Gastrointestinal Surgery, University of Health Sciences Izmir Bozyaka Training and Research Hospital, Izmir, TUR.

出版信息

Cureus. 2022 Feb 25;14(2):e22597. doi: 10.7759/cureus.22597. eCollection 2022 Feb.

Abstract

Wandering spleen (WS) is a rare disease caused by the looseness of the splenic ligaments. A 29-year-old female patient presented to the emergency department with complaints of abdominal pain and a palpable mass in the abdomen. A diagnosis of WS was made as a result of preoperative imaging. We performed urgent laparoscopic splenopexy with non-absorbable mesh in a patient with torsioned WS. WS is a disease that must be operated on urgently because it causes ischemia and necrosis in cases where it causes torsion in the splenic pedicle. Many researchers also recommend surgery in asymptomatic patients. While splenectomy was previously recommended for WS, current recommendations advocate for splenopexy. As a result, the only and definite treatment option in the case of WS is surgery. Splenopexy with minimally invasive techniques should be the first choice if possible. Splenopexy with non-absorbable mesh is an inexpensive and feasible method to prevent re-torsion. The use of non-absorbable mesh in laparoscopic splenopexy has not been shared before in the literature.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8764/8957781/a5115972f81c/cureus-0014-00000022597-i01.jpg

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