[Embryologic and anatomo-surgical presuppositions in intraoperative injuries of the spleen. A clinical study].
Records related to 2559 patients submitted to main abdominal surgery have been reviewed. Accidental splenic injury and subsequent splenectomy occurred in 4.5% of cases. A study of the embryological development and anatomical patterns of the splenic peritoneum has been carried out as well as an analysis of the site and the shape of the capsular damage in order to assess the mechanism of injury. Avulsion of splenic capsule occurring from traction on the peritoneal attachment of the spleen appears to be the most common mechanism of injury. Previous surgery and geriatric age seem to be factors predisposing to splenic injury.
Tocchi
A
A
Fornasari
V
V
Puma
F
F
Di Giorgio
A
A
D000005:Abdomen / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications / Q000209:etiology*; D010537:Peritoneum / Q000033:anatomy & histology / Q000196:embryology / Q000293:injuries*; D013154:Spleen / Q000033:anatomy & histology / Q000196:embryology / Q000293:injuries*
Presupposti embriologici ed anatomo-chirurgici delle lesioni intraoperatorie della milza. Studio clinico.