Partial splenectomy using a coupled saline-radiofrequency hemostatic device.
BACKGROUND
Partial splenectomy is indicated for benign tumors and cysts of the spleen, as well as, operative management of splenic trauma limited to one pole of the spleen. Despite improved technique, bleeding from the cut surface of the spleen still remains an obstacle.


METHODS
We describe our technique for partial splenectomy using a new device based on coupling saline with radiofrequency energy to achieve hemostasis while dividing the splenic parenchyma.


RESULTS
Use of this technique has led to blood loss of less than 50 cc, while achieving splenic preservation.
Velanovich
Vic
V
Division of General Surgery, K-8, Henry Ford Hospital, Detroit, MI 48202-2689, USA. vvelano1@hfhs.org
Weaver
Mitchell
M
D016063:Blood Loss, Surgical / Q000517:prevention & control; D003560:Cysts / Q000175:diagnosis / Q000601:surgery*; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D012680:Sensitivity and Specificity; D013156:Splenectomy / Q000379:methods*; D013158:Splenic Diseases / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome