title: Fibrin sealant treatment of splenic injury during open and laparoscopic left radical nephrectomy.
abstract: OBJECTIVE
  We describe the use of fibrin sealant for rapid and definitive hemostasis of splenic injuries incurred during open and laparoscopic left nephrectomy.
  
  
  METHODS
  In 2 patients undergoing left nephrectomy for a suspicious renal mass splenic laceration occurred during mobilization of the colonic splenic flexure at open nephrectomy and laparoscopic upper pole dissection, respectively. Fibrin sealant was applied topically in each case.
  
  
  RESULTS
  In each patient fibrin sealant achieved immediate hemostasis and each recovered without further splenic bleeding.
  
  
  CONCLUSIONS
  The topical application of fibrin sealant safely, rapidly and reliably achieves definitive hemostasis of splenic injuries. It is simple to use in the open and laparoscopic approaches.
authors.affiliation: Urology Service, Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
authors.forename: E D
authors.initials: ED
authors.lastname: Canby-Hagino
authors.forename: A F
authors.initials: AF
authors.lastname: Morey
authors.forename: I
authors.initials: I
authors.lastname: Jatoi
authors.forename: B
authors.initials: B
authors.lastname: Perahia
authors.forename: J T
authors.initials: JT
authors.lastname: Bishoff
mesh_terms: D000287:Administration, Topical; D000368:Aged; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage*; D006488:Hemostasis, Surgical; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D013154:Spleen / Q000293:injuries*
chemical_list: D015718:Fibrin Tissue Adhesive; D006490:Hemostatics