[Segmental resection of the spleen as function-preserving therapy in pediatric rupture of the spleen. Sealing of the resected surface with fibrin glue, collagen fleece and dexon net].
Segmentary resection of a traumatic ruptured spleen was carried out in two children. Bleeding of the resected area was prevented by stitching, and the resected space was sealed up by means of a layer of a collagen preparation and with fibrin adhesive. Furthermore, the parenchymal space was enveloped in a dexon net that was fastened under slight tension to the capsule of the residual spleen by means of fibrin adhesive. Postoperative progress of both children was without complications. Postoperatively a residual spleen was seen sonographically having approximately the size of an organ of substandard dimension.
D007611:Aprotinin / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003094:Collagen / Q000627:therapeutic use*; D004338:Drug Combinations / Q000627:therapeutic use; D005176:Factor XIII / Q000627:therapeutic use*; D005260:Female; D015718:Fibrin Tissue Adhesive; D005340:Fibrinogen / Q000627:therapeutic use*; D006801:Humans; D007121:Immunocompetence; D007136:Immunoglobulins / Q000378:metabolism; D008297:Male; D013161:Splenic Rupture / Q000276:immunology / Q000601:surgery*; D013526:Surgical Mesh; D013917:Thrombin / Q000627:therapeutic use*
D004338:Drug Combinations; D015718:Fibrin Tissue Adhesive; D007136:Immunoglobulins; D005340:Fibrinogen; D003094:Collagen; D005176:Factor XIII; D007611:Aprotinin; D013917:Thrombin
Segmentäre Resektion der Milz als funktionserhaltende Therapie der kindlichen Milzruptur. Mit Abdichtung der Resektionsfläche durch Fibrinkleber, Kollagenvlies und Dexonnetz.