Controlled study of in-line ovine spleen transection assisted by radiofrequency ablation.
BACKGROUND
Trauma to the spleen or tumors of the spleen often require total splenectomy for control of hemorrhage. Partial splenectomy is the preferred technique because of the short- and long-term sepsis problems in asplenic patients. Multiple techniques for partial splenectomy have been tried in the past with limited success. The authors designed the in-line radiofrequency ablation (ILRFA) probe for liver surgery. It uses radiofrequency energy to make a linear coagulative plane that allows the parenchyma of solid vascular organs to be divided. In this study, for the first time, the efficiency of ILRFA was tested with the ovine spleen.


METHODS
Seven sheep were used for this study. With the sheep under general anesthesia, a laparotomy was performed. The first sheep was used for a pilot study. Eight partial splenectomies were made in the remaining six sheep using ILRFA. For a control, a matching partial splenectomy was made in each sheep using diathermy and sutures. Blood loss was measured by determining the difference in the weights of dry sponges and blood-stained sponges after resection. A paired t test was used to compare the bleeding between the control and the ILRFA techniques.


RESULTS
The mean blood loss was 33.14 +/- 17 g using ILRFA and 123.43 +/- 72 g in the control group. The bleeding was significantly reduced in the ILRFA group (p = 0.0056). The time required to apply ILRFA was 12 minutes.


CONCLUSIONS
Partial splenectomy was achieved in the ovine spleen using radiofrequency energy with minimal blood loss.
Haghighi
Koroush S
KS
Department of Surgery, St George Hospital, University of New South Wales, Sydney, Australia.
Steinke
Karin
K
Hazratwala
Kiran
K
Kam
Peter C A
PC
Daniel
Steven
S
Morris
David L
DL
D000818:Animals; D016063:Blood Loss, Surgical / Q000517:prevention & control; D017115:Catheter Ablation; D003972:Diathermy; D012756:Sheep; D013154:Spleen / Q000601:surgery*; D013156:Splenectomy / Q000379:methods*