Scheele J, Gentsch H H, Matteson E
Surgery. 1984 Jan;95(1):6-13.
A new biogenic tissue adhesive has been used for repair of traumatic and incidental splenic lesions in 108 patients. The theoretical basis of fibrin adhesive application and technical details of this method, including the combination with a collagen fleece, are described. Complete hemostasis was achieved in 100 patients. In incidental splenic lesions the success rate of the method was 94%, and the overall salvage rate 87%. The corresponding figures for traumatic lesions were 87% and 60%, respectively. Postoperative complications developed in five patients, necessitating relaparotomy in four. In three of these patients complications were not related to the splenic repair. It can be concluded that the use of fibrin tissue adhesive is a safe and reliable method for repair in the majority of incidental and traumatic splenic injuries.
一种新型生物组织粘合剂已用于108例创伤性和偶然性脾损伤的修复。描述了纤维蛋白粘合剂应用的理论基础和该方法的技术细节，包括与胶原绒的联合使用。100例患者实现了完全止血。在偶然性脾损伤中，该方法的成功率为94%，总挽救率为87%。创伤性损伤的相应数字分别为87%和60%。5例患者出现术后并发症，4例需要再次剖腹手术。其中3例患者的并发症与脾修复无关。可以得出结论，在大多数偶然性和创伤性脾损伤中，使用纤维蛋白组织粘合剂是一种安全可靠的修复方法。
