A simplified approach to techniques of splenic salvage.
Splenic salvage or partial splenectomy may be simplified by following these basic steps. The spleen is completely mobilized from all of its attachments so that it is tethered only by its blood supply. Appropriate hilar and short gastric vessels are ligated, and devitalized splenic tissue is débrided. Parenchymal bleeding is controlled by compression using horizontal mattress sutures placed through pledgets of folded sheets of oxidized cellulose.
Trooskin
S Z
SZ
Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick 08903.
Flancbaum
L
L
Boyarsky
A H
AH
Greco
R S
RS
D006801:Humans; D013154:Spleen / Q000293:injuries* / Q000601:surgery; D013156:Splenectomy / Q000379:methods*; D013536:Suture Techniques