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脾包膜覆盖术:一项使用编织聚乙醇酸网片进行脾修补术新技术的实验研究

Splenic capping: an experimental study of a new technique for splenorrhaphy using woven polyglycolic acid mesh.

作者信息

Delany H M, Porreca F, Mitsudo S, Solanki B, Rudavsky A

出版信息

Ann Surg. 1982 Aug;196(2):187-93. doi: 10.1097/00000658-198208000-00011.

DOI:10.1097/00000658-198208000-00011
PMID:6284072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1352474/
Abstract

The use of polyglycolic acid (PGA) stretchable mesh applied to the experimentally injured canine spleen can achieve satisfactory immediate hemostasis by tamponade and simplifies the use of sutures to control remaining areas of hemorrhage. PGA mesh with 1/4" and 1/8" openings was utilized for splenorrhaphy in 12 adult mongrel dogs subjected to sharp splenic trauma. By gross and histologic examination, the PGA mesh material appears to undergo progressive absorption to complete absorption by 85 days. For the 12 animals and 30 operative procedures the only complications of the use of the mesh were the occurrence of an intrasplenic seroma in a single animal at 6 weeks after operation and three wound infections. With this material, rapid, simple canine splenic injury repair can be achieved. PGA mesh further assists in the healing process, and in maintaining maximum splenic architecture and function. The material used in this study was manufactured and supplied by Davis & Geck, American Cyanamid, Danbury, Connecticut.

摘要

将聚乙醇酸(PGA)可拉伸网片应用于实验性损伤的犬脾脏,通过填塞可实现令人满意的即时止血,并简化了使用缝线控制剩余出血区域的操作。采用具有1/4英寸和1/8英寸网孔的PGA网片,对12只遭受锐性脾创伤的成年杂种犬进行脾修补术。通过大体和组织学检查,PGA网片材料似乎会逐渐吸收,至85天时完全吸收。在这12只动物的30次手术操作中,使用网片的唯一并发症是1只动物在术后6周出现脾内血清肿,以及3例伤口感染。使用这种材料,可以快速、简单地完成犬脾损伤修复。PGA网片进一步有助于愈合过程,并维持脾脏的最大结构和功能。本研究中使用的材料由位于康涅狄格州丹伯里的美国氰胺公司戴维斯&盖克分部制造和供应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/12880f229fa8/annsurg00138-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/ed4f70e50cec/annsurg00138-0088-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/50e7eb236ddd/annsurg00138-0088-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/205aabe11cfa/annsurg00138-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/5ae5ebf010a1/annsurg00138-0089-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/12880f229fa8/annsurg00138-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/ed4f70e50cec/annsurg00138-0088-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/50e7eb236ddd/annsurg00138-0088-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/205aabe11cfa/annsurg00138-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/5ae5ebf010a1/annsurg00138-0089-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fcf/1352474/12880f229fa8/annsurg00138-0090-a.jpg

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本文引用的文献

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Protection against pneumococcal bacteremia by partial splenectomy.部分脾切除术对肺炎球菌菌血症的预防作用。
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Experimental and clinical evaluation of the splenic capping method in the treatment of injured spleens.脾脏覆盖法治疗脾损伤的实验与临床评估
Jpn J Surg. 1990 Mar;20(2):137-42. doi: 10.1007/BF02470760.
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Splenic trauma. Choice of management.脾外伤。治疗方法的选择。
Ann Surg. 1991 Feb;213(2):98-112. doi: 10.1097/00000658-199102000-00002.
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Radionuclide imaging in the nonsurgical treatment of liver and spleen trauma.
J Trauma. 1981 May;21(5):382-7. doi: 10.1097/00005373-198105000-00008.
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Evolving concepts in splenic surgery: splenorrhaphy versus splenectomy and postsplenectomy drainage: experience in 105 patients.脾脏手术的发展理念:脾修补术与脾切除术及脾切除术后引流:105例患者的经验
Ann Surg. 1981 Sep;194(3):262-9. doi: 10.1097/00000658-198109000-00003.
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Splenic trauma.
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Postsplenectomy infection.脾切除术后感染
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Splenic conservation; splenic artery ligation as adjuvant surgical measure.脾脏保留;脾动脉结扎作为辅助手术措施。
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Effect of splenectomy upon tumor growth: characterization of splenic tumor-enhancing cells in vivo.脾切除术对肿瘤生长的影响:体内脾脏肿瘤增强细胞的特征分析。
Surgery. 1980 Jun;87(6):655-61.