title: Open partial splenectomy for trauma using GIA-Stapler and FloSeal matrix haemostatic agent.
abstract: A ruptured spleen caused by blunt abdominal injury is often treated by splenectomy. In view of the gravity of the 'postsplenectomy syndrome,' a conservative approach has been increasingly used. We present the case of a 29-year-old man with a Grade III splenic lesion for a blunt abdominal trauma after a car accident. We performed a partial splenectomy of the upper pole using GIA-Stapler. A supplemental haemostasis of the stapled line was successfully achieved by the application of FloSeal matrix haemostatic agent. The splenic remnant was fixed into the left-upper quadrant using human fibrin glue.
authors: Department of General and Emergency Surgery, Azienda Ospedaliero Universitaria Maggiore della Carità di Novara, Novara, Italy. daniela_costamagna@hotmail.com
authors: Daniela
authors: D
authors: Costamagna
authors: Sabrina
authors: S
authors: Rizzi
authors: Annunziatino
authors: A
authors: Zampogna
authors: Amedeo
authors: A
authors: Alonzo
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005500:Follow-Up Studies; D005781:Gelatin Sponge, Absorbable; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D015601:Injury Severity Score; D007813:Laparotomy / Q000379:methods; D008297:Male; D013156:Splenectomy / Q000379:methods*; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013528:Surgical Staplers; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
chemical_list: C411004:FloSeal Matrix; D006490:Hemostatics