title: [Surgical repair of the spleen in children].
abstract: Splenectomy is the easiest solution, and a still widespread surgical approach for the management of traumatic spleen rupture. Nevertheless, the evidence of an increased risk of overwhelming sepsis in splenectomy patients has encouraged the development of techniques for organ repair and conservation. We report on four patients with spleen rupture repaired surgically in our institution. In two of them we performed a splenorrhaphy alone and in the remaining two this was completed with a partial splenectomy. There were no immediate or late postoperative complications. The patients have been followed-up for periods ranging from 1 to 2 1/2 years and all show isotopic evidence of spleen activity in amount related to the remaining organ. We feel that splenic repair and conservation is possible in most cases and must always be given a trial.
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011877:Radionuclide Imaging; D013154:Spleen / Q000000981:diagnostic imaging / Q000601:surgery; D013161:Splenic Rupture / Q000601:surgery*; D013536:Suture Techniques
vernacular_title: Reparación quirúrgica del bazo en el niño.