title: [Various aspects of pediatric surgery in surgery of the spleen].
abstract: The method of partial splenectomy by applying fibrin glueing has become a safe surgical procedure thus opening new aspects of pediatric surgery of the spleen. Indications for partial splenectomy are discussed with special regard to Hodgkin's disease. The autotransplantation of splenic tissue--a localized form of iatrogenically induced splenosis--is considered as secondary to partial splenectomy since the arterial perfusion and the filter function of the spleen are not maintained. In cases, where partial splenectomy cannot be performed, splenic tissue should be placed in a retroperitoneal pouch of the splenic bed. The vulnerable infant omentum is rejected as a possible site of implantation since there is danger of spreading splenic tissue into the whole abdominal cavity inducing further complications by infections or neoplasma with splenic participation.
mesh_terms: D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D006689:Hodgkin Disease / Q000473:pathology / Q000628:therapy; D006801:Humans; D008297:Male; D013154:Spleen / Q000473:pathology / Q000601:surgery* / Q000637:transplantation; D013156:Splenectomy / Q000379:methods
vernacular_title: Kinderchirurgische Aspekte zur Chirurgie der Milz.