Partial splenectomy with autologous capsule graft.
The spleen is the most common organ to be injured in the abdomen. The importance of splenic salvage, when possible, is also well established. When associated with hollow viscus injury or other significant intra-abdominal trauma, the judicious avoidance of foreign material and necrotic tissue in splenorrhaphy is important to prevent against subsequent infection. The effective and expedient repair of the injured spleen requires creativity and a variety of alternative techniques used by the surgeon. The use of autologous capsule grafts to cover the raw parenchyma after partial splenectomy offers another simple adjunct to the armamentarium of the surgeon attempting splenic salvage.
Brown
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DA
Department of Surgery, St Vincent Hospital & Medical Center, Portland, Oregon 97225.
Mukherjee
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D
D006801:Humans; D013154:Spleen / Q000293:injuries* / Q000637:transplantation; D013156:Splenectomy / Q000379:methods*; D014182:Transplantation, Autologous