[Effectiveness of various methods of stopping hemorrhage in spleen and liver injuries--results of an animal experiment study].
In 40 wistar rats liver and spleen were traumatized under standardized conditions. The hemorrhage was stopped by four different methods: 1. traditional suture technique with 4 X 0 Catgut, 2. fibrin glue, 3. endocoagulation according to Semm and 4. infrared-coagulation according to Nath.--The results show that the infrared-coagulation was the best schedule for a quick and safe bloodclotting in order to stop the hemorrhage sufficiently Concerning the postoperative lesions the infrared-coagulation had the best results also. On the other hand it could be demonstrated that this method has disadvantages with regard to the histological findings of repair mechanisms. There were deep and large areas of necrosis after infrared--as well as thermo-coagulation. The histological findings of the fibrin gluing technique, however, showed that after a few days of operation a new soft tissue grew into the traumatic lesion. Necrosis could not be identified.--If there is only short time in order to stop the hemorrhage of a parenchymatous organ we emphasize the infrared-coagulation as a favorite method because of the advantages in handling, clotting time and postoperative lesions. If there is more time in order to stop the hemorrhage we favorite the fibrin glue.
D000818:Animals; D004195:Disease Models, Animal; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D008028:Light Coagulation; D008099:Liver / Q000293:injuries* / Q000601:surgery; D051381:Rats; D011919:Rats, Inbred Strains; D013154:Spleen / Q000293:injuries* / Q000601:surgery; D013537:Sutures
Die Effizienz unterschiedlicher Methoden bei der Blutstillung von Milz- und Leberverletzungen--Ergebnisse einer tierexperimentellen Studie.